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 $89.13 / $141.25 / $165.96	Facility	26	$89.13	$141.25	$165.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $478.63 / $1,202.26	Professional		$302.00	$478.63	$1,202.26
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $158.49 / $380.19	Professional	26	$95.50	$158.49	$380.19
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $323.59 / $645.65	Professional	TC	$199.53	$323.59	$645.65
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $263.03 / $549.54	Professional		$199.53	$263.03	$549.54
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $104.71 / $204.17	Professional	26	$85.11	$104.71	$204.17
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $239.88 / $239.88	Professional	TC	$239.88	$239.88	$239.88
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $251.19 / $346.74	Professional		$85.11	$251.19	$346.74
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $426.58 / $602.56	Professional		$302.00	$426.58	$602.56
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $169.82 / $169.82	Professional	26	$102.33	$169.82	$169.82
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $26.92 / $123.03 / $177.83	Facility	26	$26.92	$123.03	$177.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $501.19 / $1,318.26	Professional		$302.00	$501.19	$1,318.26
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $138.04 / $234.42	Professional	26	$91.20	$138.04	$234.42
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $346.74 / $1,023.29	Professional	TC	$204.17	$346.74	$1,023.29
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $691.83 / $691.83 / $691.83	Facility	26	$691.83	$691.83	$691.83
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $912.01 / $912.01 / $912.01	Professional	26	$912.01	$912.01	$912.01
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5,754.40 / $5,754.40 / $5,754.40	Professional	TC	$5,754.40	$5,754.40	$5,754.40
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $89.13 / $117.49 / $165.96	Facility	26	$89.13	$117.49	$165.96
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $478.63 / $1,047.13	Professional		$302.00	$478.63	$1,047.13
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $147.91 / $309.03	Professional	26	$93.33	$147.91	$309.03
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $338.84 / $676.08	Professional	TC	$199.53	$338.84	$676.08
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $263.03	Professional		$32.36	$33.11	$263.03
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $302.00 / $831.76	Professional		$109.65	$302.00	$831.76
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $26.92 / $125.89 / $177.83	Facility	26	$26.92	$125.89	$177.83
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $512.86 / $1,148.15	Professional		$295.12	$512.86	$1,148.15
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $138.04 / $218.78	Professional	26	$91.20	$138.04	$218.78
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $346.74 / $891.25	Professional	TC	$194.98	$346.74	$891.25
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $489.78 / $1,122.02	Professional		$295.12	$489.78	$1,122.02
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $117.49 / $263.03	Professional	26	$95.50	$117.49	$263.03
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $331.13 / $870.96	Professional	TC	$204.17	$331.13	$870.96
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $316.23 / $380.19	Professional		$302.00	$316.23	$380.19
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $107.15 / $128.82	Professional	26	$102.33	$107.15	$128.82
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $213.80 / $251.19	Professional	TC	$204.17	$213.80	$251.19

Texas rates for HCPCS 72158