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 $56.23 / $281.84 / $645.65	Facility		$56.23	$281.84	$645.65
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.13 / $6.46 / $11.75	Facility	26	$5.13	$6.46	$11.75
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $21.38 / $102.33 / $537.03	Facility	TC	$21.38	$102.33	$537.03
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $34.67 / $100.00	Professional		$12.30	$34.67	$100.00
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.03 / $10.47 / $38.90	Professional	26	$6.03	$10.47	$38.90
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $34.67 / $100.00 / $263.03	Professional	50	$34.67	$100.00	$263.03
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $28.18 / $52.48 / $251.19	Professional	52	$28.18	$52.48	$251.19
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $25.70 / $64.57	Professional	TC	$16.98	$25.70	$64.57
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $28.84 / $42.66	Professional		$22.91	$28.84	$42.66
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $8.32 / $15.49	Professional	26	$6.17	$8.32	$15.49
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $32.36 / $48.98 / $83.18	Professional	50	$32.36	$48.98	$83.18
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $21.38 / $33.88	Professional	TC	$16.98	$21.38	$33.88
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $72.44 / $190.55 / $331.13	Facility		$72.44	$190.55	$331.13
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.31 / $25.70 / $34.67	Professional		$6.31	$25.70	$34.67
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $31.62 / $134.90 / $251.19	Facility		$31.62	$134.90	$251.19
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $40.74 / $61.66	Professional		$30.90	$40.74	$61.66
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $31.62 / $83.18 / $83.18	Facility		$31.62	$83.18	$83.18
Christus Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $23.99 / $23.99 / $26.30	Facility	TC	$23.99	$23.99	$26.30
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $23.44 / $23.44	Professional	26	$7.59	$23.44	$23.44
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $42.66 / $102.33 / $245.47	Facility		$42.66	$102.33	$245.47
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $1.95 / $9.12 / $13.18	Facility	26	$1.95	$9.12	$13.18
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $6.03 / $28.18 / $40.74	Facility	TC	$6.03	$28.18	$40.74
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $34.67 / $64.57	Professional		$24.55	$34.67	$64.57
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $9.77 / $18.20	Professional	26	$6.76	$9.77	$18.20
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $25.12 / $48.98	Professional	TC	$17.38	$25.12	$48.98
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $44.67 / $218.78 / $363.08	Facility		$44.67	$218.78	$363.08
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 $169.82 / $169.82 / $169.82	Facility	TC	$169.82	$169.82	$169.82
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $218.78 / $288.40	Professional		$38.90	$218.78	$288.40
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Professional	26	$70.79	$70.79	$70.79
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $223.87 / $223.87	Professional	TC	$169.82	$223.87	$223.87
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $56.23 / $457.09	Facility		$28.84	$56.23	$457.09
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.13 / $6.61 / $10.72	Facility	26	$5.13	$6.61	$10.72
Moda Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $20.42 / $64.57 / $446.68	Facility	TC	$20.42	$64.57	$446.68
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $38.02 / $85.11	Professional		$21.88	$38.02	$85.11
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.03 / $10.00 / $28.84	Professional	26	$6.03	$10.00	$28.84
Moda Health Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $28.84 / $97.72 / $295.12	Professional	50	$28.84	$97.72	$295.12
Moda Health Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $28.18 / $52.48 / $251.19	Professional	52	$28.18	$52.48	$251.19
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $28.84 / $57.54	Professional	TC	$17.78	$28.84	$57.54
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.76 / $32.36 / $33.11	Professional		$6.76	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $33.11 / $69.18	Professional		$8.32	$33.11	$69.18
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $41.69 / $87.10	Facility		$28.84	$41.69	$87.10
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.04 / $9.55 / $13.49	Facility	26	$2.04	$9.55	$13.49
Providence Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $6.17 / $28.84 / $40.74	Facility	TC	$6.17	$28.84	$40.74
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $34.67 / $74.13	Professional		$24.55	$34.67	$74.13
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $8.91 / $16.98	Professional	26	$6.76	$8.91	$16.98
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $24.55 / $43.65	Professional	TC	$17.38	$24.55	$43.65
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.12 / $81.28 / $186.21	Facility		$25.12	$81.28	$186.21
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $32.36 / $70.79	Professional		$26.92	$32.36	$70.79
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $8.71 / $23.99	Professional	26	$7.41	$8.71	$23.99
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $23.99 / $52.48	Professional	TC	$19.05	$23.99	$52.48
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $34.67 / $40.74	Professional		$33.11	$34.67	$40.74
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $8.13 / $9.77	Professional	26	$7.76	$8.13	$9.77
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $26.30 / $31.62	Professional	TC	$25.12	$26.30	$31.62

Texas rates for HCPCS 73560