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 $67.61 / $67.61 / $72.44	Facility	$67.61	$67.61	$72.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $75.86 / $134.90	Professional	$66.07	$75.86	$134.90
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $93.33 / $120.23	Professional	$87.10	$93.33	$120.23
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,162.28 / $3,388.44 / $4,168.69	Facility	$3,162.28	$3,388.44	$4,168.69
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $74.13 / $74.13	Professional	$74.13	$74.13	$74.13
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $120.23 / $158.49	Professional	$112.20	$120.23	$158.49
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $190.55 / $190.55	Facility	$158.49	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $72.44 / $100.00	Professional	$72.44	$72.44	$100.00
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $741.31 / $741.31 / $741.31	Facility	$741.31	$741.31	$741.31
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $1,122.02 / $1,122.02	Professional	$794.33	$1,122.02	$1,122.02
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $131.83 / $199.53	Facility	$67.61	$131.83	$199.53
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $75.86 / $151.36	Professional	$67.61	$75.86	$151.36
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $77.62 / $81.28	Professional	$77.62	$77.62	$81.28
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $50.12 / $50.12	Professional	$50.12	$50.12	$50.12
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $123.03 / $199.53	Facility	$67.61	$123.03	$199.53
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $72.44 / $100.00	Professional	$72.44	$72.44	$100.00
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $109.65 / $158.49	Facility	$61.66	$109.65	$158.49
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $85.11 / $104.71	Professional	$57.54	$85.11	$104.71
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $158.49 / $158.49	Professional	$83.18	$158.49	$158.49

Texas rates for HCPCS L5685