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 $8.13 / $21.88 / $60.26	Facility	$8.13	$21.88	$60.26
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.17 / $8.91 / $13.80	Professional	$6.17	$8.91	$13.80
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $7.08 / $7.08	Professional	$7.08	$7.08	$7.08
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $6.46 / $8.71	Professional	$5.01	$6.46	$8.71
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.13 / $11.75 / $17.38	Professional	$8.13	$11.75	$17.38
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.75 / $11.75 / $13.49	Facility	$11.75	$11.75	$13.49
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $25.70 / $61.66	Facility	$13.49	$25.70	$61.66
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.61 / $8.51 / $19.50	Professional	$6.61	$8.51	$19.50
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $77.62 / $100.00	Facility	$77.62	$77.62	$100.00
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $23.44 / $23.44	Professional	$23.44	$23.44	$23.44
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.71 / $11.75 / $34.67	Facility	$8.71	$11.75	$34.67
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.17 / $10.72 / $20.89	Professional	$6.17	$10.72	$20.89
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $9.77 / $9.77	Professional	$8.71	$9.77	$9.77
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.33 / $11.75 / $35.48	Facility	$9.33	$11.75	$35.48
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.61 / $8.51 / $19.50	Professional	$6.61	$8.51	$19.50
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.25 / $11.75 / $13.80	Facility	$5.25	$11.75	$13.80
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.90 / $6.76 / $13.80	Professional	$4.90	$6.76	$13.80
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.57 / $6.03 / $11.75	Professional	$4.57	$6.03	$11.75

Texas rates for HCPCS 84228