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 $77.62 / $380.19 / $616.60	Facility		$77.62	$380.19	$616.60
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.90 / $42.66 / $54.95	Facility	26	$38.90	$42.66	$54.95
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $75.86 / $229.09	Professional		$42.66	$75.86	$229.09
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $42.66 / $102.33	Professional	26	$33.11	$42.66	$102.33
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $32.36 / $147.91	Professional	TC	$25.12	$32.36	$147.91
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $32.36 / $54.95	Professional		$28.84	$32.36	$54.95
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $36.31 / $51.29	Professional	26	$35.48	$36.31	$51.29
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $26.92 / $26.92	Professional	TC	$26.92	$26.92	$26.92
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $47.86 / $213.80	Facility		$29.51	$47.86	$213.80
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $48.98 / $74.13	Professional		$29.51	$48.98	$74.13
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $42.66 / $138.04 / $288.40	Facility		$42.66	$138.04	$288.40
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $79.43 / $120.23	Professional		$36.31	$79.43	$120.23
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $123.03 / $123.03	Facility		$64.57	$123.03	$123.03
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $17.78 / $36.31	Professional	26	$17.78	$17.78	$36.31
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $138.04 / $338.84	Professional		$69.18	$138.04	$338.84
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $70.79 / $138.04	Professional	26	$39.81	$70.79	$138.04
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $54.95 / $204.17	Professional	TC	$29.51	$54.95	$204.17
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $2,951.21	Facility		$54.95	$56.23	$2,951.21
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $323.59 / $323.59 / $323.59	Facility	26	$323.59	$323.59	$323.59
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,174.90 / $1,318.26	Professional		$1,174.90	$1,174.90	$1,318.26
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $630.96 / $630.96 / $630.96	Professional	26	$630.96	$630.96	$630.96
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $870.96 / $870.96 / $870.96	Professional	TC	$870.96	$870.96	$870.96
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $109.65 / $338.84	Facility		$64.57	$109.65	$338.84
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.90 / $44.67 / $54.95	Facility	26	$38.90	$44.67	$54.95
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $79.43 / $234.42	Professional		$60.26	$79.43	$234.42
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $46.77 / $91.20	Professional	26	$34.67	$46.77	$91.20
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $33.88 / $141.25	Professional	TC	$25.12	$33.88	$141.25
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $32.36 / $53.70	Professional		$22.39	$32.36	$53.70
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $295.12 / $407.38	Professional		$100.00	$295.12	$407.38
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $107.15 / $316.23	Facility		$64.57	$107.15	$316.23
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $125.89 / $331.13	Professional		$66.07	$125.89	$331.13
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $63.10 / $138.04	Professional	26	$37.15	$63.10	$138.04
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $47.86 / $204.17	Professional	TC	$28.18	$47.86	$204.17
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $831.76 / $2,290.87	Facility		$109.65	$831.76	$2,290.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $107.15 / $295.12	Professional		$58.88	$107.15	$295.12
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $61.66 / $112.20	Professional	26	$33.88	$61.66	$112.20
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $47.86 / $177.83	Professional	TC	$25.12	$47.86	$177.83
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $67.61 / $79.43	Professional		$48.98	$67.61	$79.43
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $38.02 / $44.67	Professional	26	$27.54	$38.02	$44.67
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $29.51 / $34.67	Professional	TC	$21.38	$29.51	$34.67

Texas rates for HCPCS 51784