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 $4.57 / $12.30 / $34.67	Facility	$4.57	$12.30	$34.67
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $5.01 / $7.94	Professional	$3.98	$5.01	$7.94
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.24 / $3.98 / $4.57	Professional	$3.24	$3.98	$4.57
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.71 / $22.39 / $38.90	Facility	$8.71	$22.39	$38.90
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.63 / $5.01 / $6.46	Professional	$3.63	$5.01	$6.46
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.03 / $10.00 / $44.67	Facility	$6.03	$10.00	$44.67
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.46 / $6.46 / $6.46	Facility	$6.46	$6.46	$6.46
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.59 / $14.45 / $33.88	Facility	$7.59	$14.45	$33.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.72 / $4.68 / $10.96	Professional	$3.72	$4.68	$10.96
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $112.20 / $112.20	Facility	$112.20	$112.20	$112.20
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 $4.90 / $6.46 / $23.99	Facility	$4.90	$6.46	$23.99
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.63 / $5.89 / $11.22	Professional	$3.63	$5.89	$11.22
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.90 / $5.50 / $5.50	Professional	$4.90	$5.50	$5.50
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.25 / $6.46 / $23.99	Facility	$5.25	$6.46	$23.99
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.72 / $4.68 / $10.96	Professional	$3.72	$4.68	$10.96
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.95 / $6.46 / $7.76	Facility	$2.95	$6.46	$7.76
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.75 / $3.80 / $6.46	Professional	$2.75	$3.80	$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 85420