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 26 Typical Low / Median / Typical High $6.46 / $7.41 / $14.79	Facility	26	$6.46	$7.41	$14.79
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $17.78 / $34.67	Professional		$12.88	$17.78	$34.67
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $9.12 / $22.91	Professional	26	$7.08	$9.12	$22.91
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.13 / $7.94 / $15.14	Professional	TC	$5.13	$7.94	$15.14
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $16.22 / $19.50	Professional		$13.80	$16.22	$19.50
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $13.49 / $19.05	Professional	26	$10.00	$13.49	$19.05
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.76 / $14.79 / $22.39	Professional		$7.76	$14.79	$22.39
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $26.92 / $35.48	Professional		$18.62	$26.92	$35.48
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $9.33 / $10.23	Professional	26	$9.33	$9.33	$10.23
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.45 / $11.48 / $16.22	Facility	26	$2.45	$11.48	$16.22
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $22.91 / $48.98	Professional		$15.85	$22.91	$48.98
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $11.48 / $22.39	Professional	26	$8.32	$11.48	$22.39
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $7.08 / $10.96 / $27.54	Professional	TC	$7.08	$10.96	$27.54
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $186.21 / $208.93	Professional		$186.21	$186.21	$208.93
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $109.65 / $109.65	Professional	26	$109.65	$109.65	$109.65
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $134.90 / $134.90	Professional	TC	$134.90	$134.90	$134.90
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.46 / $8.13 / $13.18	Facility	26	$6.46	$8.13	$13.18
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $21.38 / $43.65	Professional		$12.88	$21.38	$43.65
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $11.75 / $28.84	Professional	26	$7.08	$11.75	$28.84
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.13 / $10.00 / $20.89	Professional	TC	$5.13	$10.00	$20.89
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.24 / $32.36 / $33.11	Professional		$7.24	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $44.67 / $58.88	Professional		$34.67	$44.67	$58.88
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.51 / $11.75 / $16.98	Facility	26	$2.51	$11.75	$16.98
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $21.88 / $47.86	Professional		$15.85	$21.88	$47.86
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $10.96 / $19.95	Professional	26	$8.32	$10.96	$19.95
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $6.92 / $10.00 / $24.55	Professional	TC	$6.92	$10.00	$24.55
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $20.42 / $37.15	Professional		$16.60	$20.42	$37.15
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $10.72 / $22.91	Professional	26	$8.71	$10.72	$22.91
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $7.41 / $10.00 / $19.95	Professional	TC	$7.41	$10.00	$19.95
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $19.50 / $23.44	Professional		$18.62	$19.50	$23.44
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $10.23 / $12.30	Professional	26	$9.77	$10.23	$12.30
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $8.91 / $9.33 / $10.96	Professional	TC	$8.91	$9.33	$10.96

Texas rates for HCPCS 70355