Tynbil: Know the *real* price for healthcare services

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $676.08 / $2,818.38 / $7,413.10	Facility	$676.08	$2,818.38	$7,413.10
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $457.09 / $758.58	Professional	$263.03	$457.09	$758.58
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $223.87 / $245.47	Professional	$223.87	$223.87	$245.47
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,698.24 / $2,951.21 / $5,888.44	Facility	$1,698.24	$2,951.21	$5,888.44
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $407.38 / $645.65	Professional	$245.47	$407.38	$645.65
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $426.58 / $2,238.72 / $5,011.87	Facility	$426.58	$2,238.72	$5,011.87
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $239.88 / $239.88 / $239.88	Facility	$239.88	$239.88	$239.88
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $1,380.38 / $1,380.38	Facility	$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $489.78 / $831.76	Professional	$295.12	$489.78	$831.76
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,623.41 / $28,840.32 / $28,840.32	Facility	$5,623.41	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,801.89 / $3,801.89 / $4,897.79	Professional	$3,801.89	$3,801.89	$4,897.79
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $302.00 / $630.96 / $3,801.89	Facility	$302.00	$630.96	$3,801.89
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $478.63 / $851.14	Professional	$275.42	$478.63	$851.14
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $223.87	Professional	$32.36	$33.11	$223.87
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $851.14 / $1,230.27	Professional	$3.02	$851.14	$1,230.27
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $275.42 / $501.19 / $891.25	Facility	$275.42	$501.19	$891.25
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $489.78 / $851.14	Professional	$288.40	$489.78	$851.14
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,445.44 / $3,311.31 / $7,244.36	Facility	$1,445.44	$3,311.31	$7,244.36
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $407.38 / $691.83	Professional	$251.19	$407.38	$691.83
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $467.74 / $467.74	Professional	$436.52	$467.74	$467.74

Texas rates for HCPCS 52315