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 $85.11 / $134.90 / $162.18	Facility	26	$85.11	$134.90	$162.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $478.63 / $1,380.38	Professional		$323.59	$478.63	$1,380.38
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $151.36 / $389.05	Professional	26	$85.11	$151.36	$389.05
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $338.84 / $676.08	Professional	TC	$218.78	$338.84	$676.08
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $281.84 / $562.34	Professional		$208.93	$281.84	$562.34
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $109.65 / $204.17	Professional	26	$79.43	$109.65	$204.17
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $151.36 / $199.53 / $263.03	Professional	TC	$151.36	$199.53	$263.03
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $269.15 / $363.08	Professional		$81.28	$269.15	$363.08
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $457.09 / $1,096.48	Professional		$316.23	$457.09	$1,096.48
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $204.17 / $204.17	Professional	26	$97.72	$204.17	$204.17
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.70 / $120.23 / $169.82	Facility	26	$25.70	$120.23	$169.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $537.03 / $1,318.26	Professional		$323.59	$537.03	$1,318.26
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $131.83 / $229.09	Professional	26	$87.10	$131.83	$229.09
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $229.09 / $389.05 / $1,047.13	Professional	TC	$229.09	$389.05	$1,047.13
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $660.69 / $660.69 / $660.69	Facility	26	$660.69	$660.69	$660.69
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $891.25 / $891.25 / $891.25	Professional	26	$891.25	$891.25	$891.25
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5,623.41 / $5,623.41 / $5,623.41	Professional	TC	$5,623.41	$5,623.41	$5,623.41
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $85.11 / $112.20 / $162.18	Facility	26	$85.11	$112.20	$162.18
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $501.19 / $1,122.02	Professional		$316.23	$501.19	$1,122.02
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $144.54 / $302.00	Professional	26	$85.11	$144.54	$302.00
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $346.74 / $741.31	Professional	TC	$218.78	$346.74	$741.31
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $346.74 / $1,202.26	Professional		$107.15	$346.74	$1,202.26
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.70 / $120.23 / $173.78	Facility	26	$25.70	$120.23	$173.78
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $537.03 / $1,148.15	Professional		$323.59	$537.03	$1,148.15
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $131.83 / $204.17	Professional	26	$87.10	$131.83	$204.17
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $380.19 / $954.99	Professional	TC	$218.78	$380.19	$954.99
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $524.81 / $1,148.15	Professional		$331.13	$524.81	$1,148.15
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $112.20 / $251.19	Professional	26	$91.20	$112.20	$251.19
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $398.11 / $933.25	Professional	TC	$234.42	$398.11	$933.25
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $338.84 / $398.11	Professional		$323.59	$338.84	$398.11
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $104.71 / $123.03	Professional	26	$100.00	$104.71	$123.03
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $229.09 / $275.42	Professional	TC	$218.78	$229.09	$275.42

Texas rates for HCPCS 72197