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 $10.72 / $26.92 / $77.62	Facility	$10.72	$26.92	$77.62
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.41 / $10.00 / $15.85	Professional	$7.41	$10.00	$15.85
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $9.12 / $9.12	Professional	$8.91	$9.12	$9.12
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.98 / $44.67 / $75.86	Facility	$16.98	$44.67	$75.86
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $7.94 / $14.45	Professional	$5.01	$7.94	$14.45
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.88 / $20.89 / $51.29	Facility	$12.88	$20.89	$51.29
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.77 / $14.45 / $14.45	Facility	$9.77	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.23 / $26.92 / $64.57	Facility	$10.23	$26.92	$64.57
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.37 / $7.41 / $21.88	Professional	$5.37	$7.41	$21.88
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $85.11	Facility	$70.79	$70.79	$85.11
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 $10.47 / $14.45 / $38.90	Facility	$10.47	$14.45	$38.90
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $12.02 / $21.38	Professional	$7.94	$12.02	$21.38
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $12.02 / $12.02	Professional	$10.96	$12.02	$12.02
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $14.45 / $39.81	Facility	$10.00	$14.45	$39.81
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.37 / $7.41 / $17.78	Professional	$5.37	$7.41	$17.78
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.25 / $14.45 / $17.38	Facility	$5.25	$14.45	$17.38
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.90 / $6.03 / $10.00	Professional	$4.90	$6.03	$10.00
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.62 / $7.41 / $14.45	Professional	$5.62	$7.41	$14.45

Texas rates for HCPCS 85385