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 $13.18 / $51.29 / $208.93	Facility	$13.18	$51.29	$208.93
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $14.13 / $21.88	Professional	$10.96	$14.13	$21.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $8.91 / $10.96	Professional	$8.51	$8.91	$10.96
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.99 / $61.66 / $107.15	Facility	$23.99	$61.66	$107.15
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $9.77 / $17.38	Professional	$5.01	$9.77	$17.38
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.60 / $27.54 / $117.49	Facility	$16.60	$27.54	$117.49
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.78 / $17.78 / $20.42	Facility	$17.78	$17.78	$20.42
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.89 / $39.81 / $97.72	Facility	$20.89	$39.81	$97.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $13.80 / $30.20	Professional	$10.00	$13.80	$30.20
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $144.54 / $144.54	Facility	$144.54	$144.54	$144.54
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Professional	$35.48	$35.48	$35.48
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $17.78 / $83.18	Facility	$13.49	$17.78	$83.18
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $16.22 / $32.36	Professional	$10.00	$16.22	$32.36
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $15.14 / $15.14	Professional	$13.49	$15.14	$15.14
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.45 / $17.78 / $53.70	Facility	$14.45	$17.78	$53.70
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $13.80 / $29.51	Professional	$10.00	$13.80	$29.51
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.59 / $17.78 / $21.38	Facility	$7.59	$17.78	$21.38
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.59 / $10.23 / $17.78	Professional	$7.59	$10.23	$17.78
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.92 / $9.33 / $12.30	Professional	$6.92	$9.33	$12.30

Texas rates for HCPCS 85260