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 $26.30 / $66.07 / $190.55	Facility	$26.30	$66.07	$190.55
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $29.51 / $43.65	Professional	$20.89	$29.51	$43.65
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $21.38 / $48.98	Professional	$21.38	$21.38	$48.98
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $120.23 / $208.93	Facility	$46.77	$120.23	$208.93
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $19.50 / $47.86	Professional	$5.01	$19.50	$47.86
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $34.67 / $48.98	Professional	$24.55	$34.67	$48.98
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $37.15 / $37.15	Facility	$35.48	$37.15	$37.15
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $79.43 / $190.55	Facility	$41.69	$79.43	$190.55
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $26.92 / $74.13	Professional	$19.95	$26.92	$74.13
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $194.98 / $194.98 / $204.17	Facility	$194.98	$194.98	$204.17
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $323.59 / $323.59	Professional	$323.59	$323.59	$323.59
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.30 / $45.71 / $134.90	Facility	$26.30	$45.71	$134.90
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $31.62 / $57.54	Professional	$19.05	$31.62	$57.54
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $29.51 / $35.48	Professional	$29.51	$29.51	$35.48
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $27.54 / $56.23 / $123.03	Facility	$27.54	$56.23	$123.03
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $33.88 / $72.44	Professional	$19.95	$33.88	$72.44
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.22 / $35.48 / $41.69	Facility	$16.22	$35.48	$41.69
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $20.42 / $43.65	Professional	$14.79	$20.42	$43.65
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $23.99 / $35.48	Professional	$13.80	$23.99	$35.48

Texas rates for HCPCS 87538