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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.91 / $60.26 / $309.03	Facility		$8.91	$60.26	$309.03
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $10.96 / $58.88 / $74.13	Facility	CQ	$10.96	$58.88	$74.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $10.72 / $22.39	Professional		$7.08	$10.72	$22.39
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Professional	CO	$41.69	$41.69	$41.69
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $5.75 / $13.80 / $34.67	Professional	CQ	$5.75	$13.80	$34.67
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.13 / $35.48 / $69.18	Facility		$14.13	$35.48	$69.18
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $11.75 / $11.75	Professional		$10.47	$11.75	$11.75
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $16.98 / $50.12	Professional		$12.02	$16.98	$50.12
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.13 / $14.45 / $14.45	Facility		$14.13	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $64.57 / $75.86	Facility		$54.95	$64.57	$75.86
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $12.02 / $20.89	Professional		$8.32	$12.02	$20.89
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.79 / $89.13 / $100.00	Facility		$14.79	$89.13	$100.00
Lucent Health Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $75.86 / $75.86 / $75.86	Facility	CQ	$75.86	$75.86	$75.86
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $21.38 / $117.49	Professional		$14.13	$21.38	$117.49
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.71 / $14.13 / $29.51	Facility		$8.71	$14.13	$29.51
Moda Health Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $10.96 / $63.10 / $74.13	Facility	CQ	$10.96	$63.10	$74.13
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $12.88 / $25.70	Professional		$7.08	$12.88	$25.70
Moda Health Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $10.96 / $17.38 / $34.67	Professional	CQ	$10.96	$17.38	$34.67
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $33.11 / $34.67	Professional		$27.54	$33.11	$34.67
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $128.82 / $138.04	Facility		$123.03	$128.82	$138.04
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $19.05 / $52.48	Professional		$13.49	$19.05	$52.48
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.12 / $14.45 / $26.92	Facility		$9.12	$14.45	$26.92
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $11.48 / $20.89	Professional		$8.32	$11.48	$20.89
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $12.59 / $20.89	Facility		$11.48	$12.59	$20.89
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $12.02 / $16.60	Professional		$10.23	$12.02	$16.60
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $14.45 / $14.45	Professional		$13.80	$14.45	$14.45

Texas rates for HCPCS 97035