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 $12.88 / $32.36 / $83.18	Facility	$12.88	$32.36	$83.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $13.80 / $20.89	Professional	$10.00	$13.80	$20.89
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $10.47 / $10.47	Professional	$10.47	$10.47	$10.47
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.91 / $58.88 / $102.33	Facility	$22.91	$58.88	$102.33
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $9.33 / $16.60	Professional	$5.01	$9.33	$16.60
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $17.38 / $27.54	Professional	$12.02	$17.38	$27.54
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.38 / $23.99 / $23.99	Facility	$17.38	$23.99	$23.99
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.95 / $38.02 / $93.33	Facility	$19.95	$38.02	$93.33
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $13.18 / $28.84	Professional	$9.77	$13.18	$28.84
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $147.91	Facility	$100.00	$100.00	$147.91
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $34.67 / $34.67	Professional	$34.67	$34.67	$34.67
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.88 / $17.38 / $66.07	Facility	$12.88	$17.38	$66.07
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $15.49 / $30.90	Professional	$10.00	$15.49	$30.90
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $14.45 / $14.45	Professional	$12.88	$14.45	$14.45
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $17.38 / $50.12	Facility	$13.80	$17.38	$50.12
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $12.59 / $28.84	Professional	$9.77	$12.59	$28.84
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.24 / $17.38 / $20.42	Facility	$7.24	$17.38	$20.42
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.24 / $9.77 / $16.98	Professional	$7.24	$9.77	$16.98
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.76 / $8.91 / $17.38	Professional	$6.76	$8.91	$17.38

Texas rates for HCPCS 85415