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 $4.27 / $12.02 / $45.71	Facility	$4.27	$12.02	$45.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $5.62 / $7.08	Professional	$3.98	$5.62	$7.08
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.09 / $3.98 / $6.46	Professional	$3.09	$3.98	$6.46
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.32 / $21.88 / $38.90	Facility	$8.32	$21.88	$38.90
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.17 / $5.01 / $6.46	Professional	$4.17	$5.01	$6.46
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.57 / $6.61 / $9.77	Professional	$4.57	$6.61	$9.77
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.03 / $6.03 / $6.46	Facility	$6.03	$6.03	$6.46
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.24 / $13.49 / $30.90	Facility	$7.24	$13.49	$30.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $6.76 / $10.96	Professional	$3.98	$6.76	$10.96
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $141.25 / $141.25	Facility	$79.43	$141.25	$141.25
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $12.88 / $12.88	Professional	$12.88	$12.88	$12.88
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.79 / $6.46 / $24.55	Facility	$4.79	$6.46	$24.55
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $5.75 / $10.47	Professional	$3.98	$5.75	$10.47
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.90 / $5.37 / $5.37	Professional	$4.90	$5.37	$5.37
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.13 / $6.46 / $19.05	Facility	$5.13	$6.46	$19.05
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $6.46 / $10.96	Professional	$3.98	$6.46	$10.96
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.69 / $6.46 / $7.76	Facility	$2.69	$6.46	$7.76
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.69 / $3.72 / $6.46	Professional	$2.69	$3.72	$6.46
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.51 / $3.39 / $6.46	Professional	$2.51	$3.39	$6.46

Texas rates for HCPCS 85004