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 $363.08 / $2,089.30 / $6,918.31	Facility		$363.08	$2,089.30	$6,918.31
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $40.74 / $41.69 / $50.12	Facility	26	$40.74	$41.69	$50.12
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $213.80 / $446.68	Professional		$144.54	$213.80	$446.68
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $46.77 / $123.03	Professional	26	$37.15	$46.77	$123.03
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $158.49 / $223.87	Professional	TC	$93.33	$158.49	$223.87
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $154.88 / $208.93	Professional		$125.89	$154.88	$208.93
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $38.02 / $38.90	Professional	26	$38.02	$38.02	$38.90
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $123.03 / $123.03	Professional	TC	$123.03	$123.03	$123.03
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $63.10 / $288.40 / $7,943.28	Facility		$63.10	$288.40	$7,943.28
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $117.49 / $204.17	Professional		$31.62	$117.49	$204.17
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $794.33 / $794.33	Facility		$186.21	$794.33	$794.33
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $245.47 / $371.54	Professional		$245.47	$245.47	$371.54
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $123.03 / $147.91	Facility		$123.03	$123.03	$147.91
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $54.95 / $54.95	Professional	26	$38.90	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $213.80 / $338.84	Professional		$151.36	$213.80	$338.84
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $54.95 / $91.20	Professional	26	$40.74	$54.95	$91.20
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $154.88 / $257.04	Professional	TC	$102.33	$154.88	$257.04
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 $245.47 / $245.47 / $245.47	Facility	26	$245.47	$245.47	$245.47
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $691.83 / $691.83 / $912.01	Professional	26	$691.83	$691.83	$912.01
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,148.15 / $1,148.15 / $1,148.15	Professional	TC	$1,148.15	$1,148.15	$1,148.15
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $363.08 / $3,890.45	Facility		$154.88	$363.08	$3,890.45
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $40.74 / $47.86 / $58.88	Facility	26	$40.74	$47.86	$58.88
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $229.09 / $426.58	Professional		$154.88	$229.09	$426.58
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $56.23 / $93.33	Professional	26	$38.90	$56.23	$93.33
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $173.78 / $275.42	Professional	TC	$112.20	$173.78	$275.42
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $107.15	Professional		$32.36	$33.11	$107.15
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $263.03 / $537.03	Professional		$229.09	$263.03	$537.03
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $223.87 / $416.87	Facility		$154.88	$223.87	$416.87
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $213.80 / $363.08	Professional		$147.91	$213.80	$363.08
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $54.95 / $85.11	Professional	26	$40.74	$54.95	$85.11
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $151.36 / $257.04	Professional	TC	$100.00	$151.36	$257.04
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $954.99 / $2,398.83	Facility		$162.18	$954.99	$2,398.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $173.78 / $288.40	Professional		$107.15	$173.78	$288.40
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $45.71 / $74.13	Professional	26	$33.11	$45.71	$74.13
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $125.89 / $213.80	Professional	TC	$70.79	$125.89	$213.80
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $154.88 / $154.88	Professional		$147.91	$154.88	$154.88
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $40.74 / $40.74	Professional	26	$38.02	$40.74	$40.74
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $114.82 / $114.82	Professional	TC	$114.82	$114.82	$114.82

Texas rates for HCPCS 51797