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 $7.08 / $18.20 / $53.70	Facility	$7.08	$18.20	$53.70
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $7.94 / $12.02	Professional	$6.03	$7.94	$12.02
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $6.03 / $6.03	Professional	$6.03	$6.03	$6.03
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.18 / $33.88 / $58.88	Facility	$13.18	$33.88	$58.88
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $5.50 / $9.55	Professional	$5.01	$5.50	$9.55
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.55 / $9.55 / $9.77	Facility	$9.55	$9.55	$9.77
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $21.88 / $52.48	Facility	$11.48	$21.88	$52.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.50 / $7.24 / $16.60	Professional	$5.50	$7.24	$16.60
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $120.23	Facility	$70.79	$70.79	$120.23
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $19.95 / $19.95	Professional	$19.95	$19.95	$19.95
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.41 / $9.77 / $38.02	Facility	$7.41	$9.77	$38.02
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.25 / $8.91 / $16.98	Professional	$5.25	$8.91	$16.98
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.41 / $8.32 / $8.32	Professional	$7.41	$8.32	$8.32
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.94 / $9.77 / $28.84	Facility	$7.94	$9.77	$28.84
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.50 / $7.24 / $16.60	Professional	$5.50	$7.24	$16.60
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.47 / $9.77 / $11.75	Facility	$4.47	$9.77	$11.75
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.17 / $5.75 / $10.47	Professional	$4.17	$5.75	$10.47
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.80 / $5.13 / $9.77	Professional	$3.80	$5.13	$9.77

Texas rates for HCPCS 85635