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 $22.39 / $63.10 / $173.78	Facility	$22.39	$63.10	$173.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $30.20 / $39.81	Professional	$21.88	$30.20	$39.81
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $20.89 / $23.44	Professional	$16.22	$20.89	$23.44
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $44.67 / $114.82 / $204.17	Facility	$44.67	$114.82	$204.17
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $18.62 / $33.11	Professional	$5.01	$18.62	$33.11
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $33.88 / $47.86	Facility	$15.14	$33.88	$47.86
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $30.20 / $33.88	Facility	$30.20	$30.20	$33.88
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $70.79 / $158.49	Facility	$38.02	$70.79	$158.49
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $24.55 / $57.54	Professional	$19.05	$24.55	$57.54
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $426.58 / $426.58	Facility	$162.18	$426.58	$426.58
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $67.61 / $67.61	Professional	$67.61	$67.61	$67.61
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.12 / $33.88 / $123.03	Facility	$25.12	$33.88	$123.03
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $30.90 / $58.88	Professional	$19.95	$30.90	$58.88
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $28.18 / $28.18	Professional	$25.12	$28.18	$28.18
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $42.66 / $42.66 / $54.95	Facility	$42.66	$42.66	$54.95
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $33.88 / $100.00	Facility	$26.92	$33.88	$100.00
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $24.55 / $56.23	Professional	$19.05	$24.55	$56.23
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $33.88 / $40.74	Facility	$15.14	$33.88	$40.74
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $19.95 / $33.88	Professional	$14.13	$19.95	$33.88
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $17.38 / $33.88	Professional	$13.18	$17.38	$33.88

Texas rates for HCPCS 87255