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 $8.71 / $21.88 / $61.66	Facility	$8.71	$21.88	$61.66
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $8.91 / $15.14	Professional	$7.08	$8.91	$15.14
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.17 / $4.17 / $4.17	Professional	$4.17	$4.17	$4.17
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $40.74 / $70.79	Facility	$15.85	$40.74	$70.79
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $6.46 / $11.75	Professional	$5.01	$6.46	$11.75
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $11.48 / $11.75	Facility	$11.48	$11.48	$11.75
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $26.30 / $63.10	Facility	$13.80	$26.30	$63.10
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.61 / $8.71 / $19.50	Professional	$6.61	$8.71	$19.50
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $93.33	Facility	$70.79	$70.79	$93.33
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $23.99 / $23.99	Professional	$23.99	$23.99	$23.99
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.91 / $11.75 / $45.71	Facility	$8.91	$11.75	$45.71
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $10.72 / $21.38	Professional	$7.08	$10.72	$21.38
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $10.00 / $10.00	Professional	$8.91	$10.00	$10.00
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.55 / $12.88 / $36.31	Facility	$9.55	$12.88	$36.31
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.61 / $8.71 / $19.50	Professional	$6.61	$8.71	$19.50
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.01 / $11.75 / $14.13	Facility	$5.01	$11.75	$14.13
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $6.76 / $11.75	Professional	$5.01	$6.76	$11.75
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.57 / $6.17 / $11.75	Professional	$4.57	$6.17	$11.75

Texas rates for HCPCS 85525