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 $9.55 / $69.18 / $190.55	Facility	$9.55	$69.18	$190.55
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.13 / $8.71 / $18.20	Professional	$5.13	$8.71	$18.20
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.39 / $4.79 / $5.89	Professional	$3.39	$4.79	$5.89
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.47 / $30.20 / $53.70	Facility	$10.47	$30.20	$53.70
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $5.50 / $9.55	Professional	$5.01	$5.50	$9.55
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.91 / $10.96 / $17.78	Facility	$8.91	$10.96	$17.78
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.76 / $9.77 / $14.45	Professional	$6.76	$9.77	$14.45
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.55 / $10.00 / $10.00	Facility	$9.55	$10.00	$10.00
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.96 / $21.38 / $51.29	Facility	$10.96	$21.38	$51.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.37 / $7.41 / $16.60	Professional	$5.37	$7.41	$16.60
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $63.10 / $67.61	Facility	$60.26	$63.10	$67.61
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $14.13 / $16.22	Professional	$8.71	$14.13	$16.22
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.24 / $11.48 / $141.25	Facility	$7.24	$11.48	$141.25
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.13 / $8.71 / $15.49	Professional	$5.13	$8.71	$15.49
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.24 / $8.13 / $8.13	Professional	$7.24	$8.13	$8.13
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $181.97 / $380.19 / $426.58	Facility	$181.97	$380.19	$426.58
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.59 / $9.55 / $29.51	Facility	$7.59	$9.55	$29.51
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.37 / $7.41 / $16.22	Professional	$5.37	$7.41	$16.22
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.17 / $9.55 / $11.48	Facility	$4.17	$9.55	$11.48
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $5.50 / $9.55	Professional	$3.98	$5.50	$9.55
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.72 / $5.01 / $9.55	Professional	$3.72	$5.01	$9.55

Texas rates for HCPCS 85613