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 Professional Modifier Typical Low / Median / Typical High $91.20 / $128.82 / $194.98	Professional	$91.20	$128.82	$194.98
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $141.25	Professional	$141.25	$141.25	$141.25
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $128.82 / $190.55	Professional	$89.13	$128.82	$190.55
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $275.42 / $309.03	Professional	$275.42	$275.42	$309.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $154.88 / $263.03	Professional	$104.71	$154.88	$263.03
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,174.90 / $1,778.28	Professional	$1,174.90	$1,174.90	$1,778.28
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $144.54 / $251.19	Professional	$95.50	$144.54	$251.19
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $109.65	Professional	$32.36	$33.11	$109.65
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $275.42 / $354.81	Professional	$3.02	$275.42	$354.81
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $154.88 / $263.03	Professional	$102.33	$154.88	$263.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $117.49 / $190.55	Professional	$81.28	$117.49	$190.55
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $141.25 / $141.25	Professional	$134.90	$141.25	$141.25

Texas rates for HCPCS 54055