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 $13.49 / $64.57 / $173.78	Facility	$13.49	$64.57	$173.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $15.49 / $21.38	Professional	$10.00	$15.49	$21.38
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $10.96 / $10.96	Professional	$10.96	$10.96	$10.96
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.88 / $58.88 / $104.71	Facility	$21.88	$58.88	$104.71
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $10.00 / $17.38	Professional	$5.01	$10.00	$17.38
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $69.18 / $102.33	Facility	$69.18	$69.18	$102.33
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $18.62 / $28.84	Professional	$12.59	$18.62	$28.84
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.78 / $17.78 / $17.78	Facility	$17.78	$17.78	$17.78
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.89 / $39.81 / $95.50	Facility	$20.89	$39.81	$95.50
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $13.18 / $30.20	Professional	$10.00	$13.18	$30.20
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $87.10 / $87.10 / $87.10	Facility	$87.10	$87.10	$87.10
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $36.31	Professional	$36.31	$36.31	$36.31
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $17.78 / $81.28	Facility	$13.49	$17.78	$81.28
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $16.22 / $28.84	Professional	$10.00	$16.22	$28.84
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 / $52.48	Facility	$14.45	$17.78	$52.48
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $13.18 / $29.51	Professional	$10.00	$13.18	$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 / $10.47 / $17.78	Professional	$7.59	$10.47	$17.78
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $9.33 / $17.78	Professional	$7.08	$9.33	$17.78

Texas rates for HCPCS 85597