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 $20.89 / $107.15 / $354.81	Facility		$20.89	$107.15	$354.81
Aetna Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Facility	CO	$165.96	$165.96	$165.96
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $44.67 / $79.43 / $316.23	Facility	CQ	$44.67	$79.43	$316.23
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $25.12 / $83.18	Professional		$15.49	$25.12	$83.18
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Professional	CO	$27.54	$27.54	$27.54
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $17.78 / $26.92 / $81.28	Professional	CQ	$17.78	$26.92	$81.28
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $87.10 / $169.82	Facility		$38.02	$87.10	$169.82
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $26.92 / $26.92	Professional		$23.99	$26.92	$26.92
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $36.31 / $123.03	Facility		$30.90	$36.31	$123.03
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $35.48 / $64.57	Professional		$27.54	$35.48	$64.57
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $31.62 / $38.90 / $38.90	Facility		$31.62	$38.90	$38.90
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $64.57 / $85.11	Facility		$54.95	$64.57	$85.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $28.18 / $51.29	Professional		$20.89	$28.18	$51.29
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $208.93 / $208.93	Facility		$37.15	$208.93	$208.93
Lucent Health Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $177.83 / $177.83 / $177.83	Facility	CO	$177.83	$177.83	$177.83
Lucent Health Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $177.83 / $177.83 / $177.83	Facility	CQ	$177.83	$177.83	$177.83
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $46.77 / $269.15	Professional		$32.36	$46.77	$269.15
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.89 / $33.88 / $91.20	Facility		$20.89	$33.88	$91.20
Moda Health Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Facility	CO	$165.96	$165.96	$165.96
Moda Health Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $44.67 / $50.12 / $208.93	Facility	CQ	$44.67	$50.12	$208.93
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $30.20 / $60.26	Professional		$15.49	$30.20	$60.26
Moda Health Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Professional	CO	$27.54	$27.54	$27.54
Moda Health Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $20.42 / $38.02 / $81.28	Professional	CQ	$20.42	$38.02	$81.28
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $33.11 / $33.88	Professional		$26.92	$33.11	$33.88
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $42.66 / $120.23	Professional		$30.90	$42.66	$120.23
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.38 / $33.88 / $58.88	Facility		$21.38	$33.88	$58.88
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $27.54 / $51.29	Professional		$21.38	$27.54	$51.29
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $29.51 / $46.77	Facility		$25.70	$29.51	$46.77
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $29.51 / $40.74	Professional		$26.30	$29.51	$40.74
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $32.36 / $32.36	Professional		$31.62	$32.36	$32.36

Texas rates for HCPCS 97535