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 $1.74 / $2.00 / $2.00	Facility	$1.74	$2.00	$2.00
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.00 / $2.00 / $3.02	Professional	$1.00	$2.00	$3.02
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.51 / $2.51 / $2.51	Professional	$2.51	$2.51	$2.51
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.47 / $8.91 / $9.33	Facility	$3.47	$8.91	$9.33
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.66 / $1.66 / $1.66	Professional	$1.66	$1.66	$1.66
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.51 / $2.51 / $2.57	Professional	$2.51	$2.51	$2.57
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $30.20 / $30.20	Facility	$30.20	$30.20	$30.20
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.34 / $2.34 / $5.50	Facility	$2.34	$2.34	$5.50
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.00 / $2.00 / $2.00	Professional	$2.00	$2.00	$2.00
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $75.86 / $75.86	Facility	$60.26	$75.86	$75.86
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $25.12 / $25.12	Professional	$17.38	$25.12	$25.12
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.04 / $3.47 / $5.25	Facility	$2.04	$3.47	$5.25
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.00 / $2.00 / $3.31	Professional	$1.00	$2.00	$3.31
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.63 / $2.63 / $3.02	Professional	$2.63	$2.63	$3.02
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.76 / $6.76 / $6.76	Professional	$6.76	$6.76	$6.76
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.04 / $3.47 / $5.50	Facility	$2.04	$3.47	$5.50
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.00 / $2.00 / $2.00	Professional	$2.00	$2.00	$2.00
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.17 / $1.55 / $2.57	Facility	$1.17	$1.55	$2.57
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.41 / $1.55 / $2.57	Professional	$1.41	$1.55	$2.57
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.09 / $3.47 / $3.47	Professional	$3.09	$3.47	$3.47

Texas rates for HCPCS A4225