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 $645.65 / $2,884.03 / $7,762.47	Facility	$645.65	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $2,691.53 / $5,011.87	Professional	$162.18	$2,691.53	$5,011.87
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $177.83 / $4,897.79	Professional	$141.25	$177.83	$4,897.79
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,801.89 / $6,760.83 / $12,882.50	Facility	$3,801.89	$6,760.83	$12,882.50
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $1,995.26 / $3,388.44	Professional	$134.90	$1,995.26	$3,388.44
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $354.81 / $354.81	Professional	$323.59	$354.81	$354.81
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $3,981.07 / $3,981.07	Facility	$141.25	$3,981.07	$3,981.07
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,623.41 / $5,623.41 / $5,623.41	Facility	$5,623.41	$5,623.41	$5,623.41
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $398.11 / $5,754.40	Professional	$181.97	$398.11	$5,754.40
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $23,988.33	Facility	$54.95	$56.23	$23,988.33
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $19,498.45 / $22,908.68 / $22,908.68	Professional	$19,498.45	$22,908.68	$22,908.68
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $177.83 / $2,511.89 / $6,760.83	Facility	$177.83	$2,511.89	$6,760.83
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $2,691.53 / $6,456.54	Professional	$162.18	$2,691.53	$6,456.54
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $131.83	Professional	$32.36	$33.11	$131.83
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $4,466.84 / $8,317.64	Professional	$5.01	$4,466.84	$8,317.64
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $2,454.71 / $5,888.44	Facility	$151.36	$2,454.71	$5,888.44
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $407.38 / $5,754.40	Professional	$177.83	$407.38	$5,754.40
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,754.23 / $7,079.46 / $14,454.40	Facility	$2,754.23	$7,079.46	$14,454.40
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $1,905.46 / $5,248.07	Professional	$154.88	$1,905.46	$5,248.07
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,548.13 / $3,715.35 / $3,715.35	Professional	$3,548.13	$3,715.35	$3,715.35

Texas rates for HCPCS 55874