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 $28.18 / $85.11 / $251.19	Facility	$28.18	$85.11	$251.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $33.88 / $44.67	Professional	$22.91	$33.88	$44.67
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $22.91 / $26.30	Professional	$18.20	$22.91	$26.30
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $48.98 / $125.89 / $218.78	Facility	$48.98	$125.89	$218.78
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $20.89 / $34.67	Professional	$5.01	$20.89	$34.67
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $56.23 / $218.78	Facility	$34.67	$56.23	$218.78
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $38.02 / $56.23	Professional	$26.30	$38.02	$56.23
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $48.98 / $48.98	Facility	$38.02	$48.98	$48.98
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $43.65 / $83.18 / $199.53	Facility	$43.65	$83.18	$199.53
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $27.54 / $63.10	Professional	$21.38	$27.54	$63.10
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $181.97 / $186.21 / $186.21	Facility	$181.97	$186.21	$186.21
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $75.86 / $75.86	Professional	$75.86	$75.86	$75.86
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $38.02 / $173.78	Facility	$28.84	$38.02	$173.78
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $33.88 / $60.26	Professional	$21.88	$33.88	$60.26
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $31.62 / $31.62	Professional	$28.18	$31.62	$31.62
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $190.55 / $213.80	Facility	$93.33	$190.55	$213.80
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $38.02 / $107.15	Facility	$30.20	$38.02	$107.15
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $27.54 / $63.10	Professional	$21.38	$27.54	$63.10
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.98 / $38.02 / $45.71	Facility	$16.98	$38.02	$45.71
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $21.88 / $37.15	Professional	$15.85	$21.88	$37.15
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $19.50 / $38.02	Professional	$14.79	$19.50	$38.02

Texas rates for HCPCS 86359