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 $100.00 / $3,715.35 / $12,882.50	Facility	$100.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $91.20 / $144.54	Professional	$70.79	$91.20	$144.54
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $87.10 / $109.65	Professional	$43.65	$87.10	$109.65
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $42.66 / $70.79 / $295.12	Facility	$42.66	$70.79	$295.12
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $85.11 / $120.23	Professional	$60.26	$85.11	$120.23
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $57.54 / $3,981.07	Facility	$33.11	$57.54	$3,981.07
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $162.18	Professional	$147.91	$147.91	$162.18
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $66.07 / $66.07	Facility	$66.07	$66.07	$66.07
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $66.07 / $66.07	Facility	$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $109.65 / $186.21	Professional	$79.43	$109.65	$186.21
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $1,288.25	Facility	$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $776.25 / $776.25	Professional	$660.69	$776.25	$776.25
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $114.82 / $3,311.31	Facility	$77.62	$114.82	$3,311.31
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $109.65 / $173.78	Professional	$74.13	$109.65	$173.78
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $57.54	Professional	$32.36	$33.11	$57.54
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $173.78 / $223.87	Professional	$3.02	$173.78	$223.87
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $104.71 / $186.21	Facility	$75.86	$104.71	$186.21
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $112.20 / $186.21	Professional	$79.43	$112.20	$186.21
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $831.76 / $2,290.87	Facility	$162.18	$831.76	$2,290.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $91.20 / $141.25	Professional	$64.57	$91.20	$141.25
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $97.72 / $97.72	Professional	$91.20	$97.72	$97.72

Texas rates for HCPCS 54235