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 $4.68 / $5.13 / $9.77	Facility	26	$4.68	$5.13	$9.77
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $10.96 / $32.36 / $141.25	Facility	TC	$10.96	$32.36	$141.25
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $21.88 / $51.29	Professional		$14.45	$21.88	$51.29
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.01 / $7.41 / $20.42	Professional	26	$5.01	$7.41	$20.42
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $57.54 / $109.65 / $213.80	Professional	50	$57.54	$109.65	$213.80
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.00 / $14.13 / $28.18	Professional	TC	$10.00	$14.13	$28.18
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $18.20 / $41.69	Professional		$14.45	$18.20	$41.69
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.62 / $7.08 / $12.30	Professional	26	$5.62	$7.08	$12.30
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $16.98 / $16.98	Professional	TC	$16.98	$16.98	$16.98
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.75 / $16.60 / $22.39	Professional		$5.75	$16.60	$22.39
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $25.12 / $32.36	Professional		$19.05	$25.12	$32.36
Christus Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $13.18 / $13.18 / $14.45	Facility	TC	$13.18	$13.18	$14.45
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.92 / $6.92 / $7.59	Professional	26	$6.92	$6.92	$7.59
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $1.82 / $8.32 / $12.02	Facility	26	$1.82	$8.32	$12.02
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $3.31 / $15.49 / $22.39	Facility	TC	$3.31	$15.49	$22.39
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $25.70 / $46.77	Professional		$17.38	$25.70	$46.77
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $8.51 / $16.60	Professional	26	$6.17	$8.51	$16.60
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.48 / $16.98 / $31.62	Professional	TC	$11.48	$16.98	$31.62
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 Facility Modifier TC Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	TC	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $181.97 / $181.97	Professional		$173.78	$181.97	$181.97
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $75.86 / $75.86	Professional	26	$75.86	$75.86	$75.86
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $123.03 / $147.91	Professional	TC	$123.03	$123.03	$147.91
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $4.79 / $6.03 / $9.77	Facility	26	$4.79	$6.03	$9.77
Moda Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $10.96 / $21.38 / $128.82	Facility	TC	$10.96	$21.38	$128.82
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $25.12 / $52.48	Professional		$15.14	$25.12	$52.48
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.01 / $8.91 / $18.62	Professional	26	$5.01	$8.91	$18.62
Moda Health Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $57.54 / $57.54 / $323.59	Professional	50	$57.54	$57.54	$323.59
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.00 / $16.98 / $33.11	Professional	TC	$10.00	$16.98	$33.11
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.17 / $32.36 / $33.11	Professional		$6.17	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.76 / $20.89 / $47.86	Professional		$7.76	$20.89	$47.86
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $1.86 / $8.71 / $12.30	Facility	26	$1.86	$8.71	$12.30
Providence Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $3.39 / $15.49 / $22.39	Facility	TC	$3.39	$15.49	$22.39
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $24.55 / $48.98	Professional		$17.38	$24.55	$48.98
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $7.94 / $14.13	Professional	26	$6.17	$7.94	$14.13
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.22 / $15.14 / $29.51	Professional	TC	$11.22	$15.14	$29.51
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $23.44 / $48.98	Professional		$18.62	$23.44	$48.98
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.31 / $7.59 / $21.88	Professional	26	$6.31	$7.59	$21.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.30 / $15.85 / $32.36	Professional	TC	$12.30	$15.85	$32.36
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $21.88 / $25.70	Professional		$20.89	$21.88	$25.70
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.24 / $7.59 / $8.91	Professional	26	$7.24	$7.59	$8.91
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.49 / $14.45 / $16.98	Professional	TC	$13.49	$14.45	$16.98

Texas rates for HCPCS 73020