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 $6.92 / $8.13 / $16.22	Facility	26	$6.92	$8.13	$16.22
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $29.51 / $144.54 / $660.69	Facility	TC	$29.51	$144.54	$660.69
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $52.48 / $169.82	Professional		$23.44	$52.48	$169.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $15.85 / $50.12	Professional	26	$7.94	$15.85	$50.12
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $45.71 / $120.23 / $416.87	Professional	50	$45.71	$120.23	$416.87
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $36.31 / $85.11	Professional	TC	$24.55	$36.31	$85.11
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $45.71 / $67.61	Professional		$31.62	$45.71	$67.61
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $10.72 / $25.70	Professional	26	$8.51	$10.72	$25.70
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $51.29 / $74.13 / $97.72	Professional	50	$51.29	$74.13	$97.72
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $36.31 / $63.10	Professional	TC	$28.84	$36.31	$63.10
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $36.31 / $47.86	Professional		$8.51	$36.31	$47.86
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $54.95 / $81.28	Professional		$41.69	$54.95	$81.28
Christus Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $33.11 / $33.11 / $38.90	Facility	TC	$33.11	$33.11	$38.90
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $26.92 / $26.92	Professional	26	$10.47	$26.92	$26.92
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.69 / $12.59 / $17.78	Facility	26	$2.69	$12.59	$17.78
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $8.51 / $39.81 / $56.23	Facility	TC	$8.51	$39.81	$56.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $47.86 / $89.13	Professional		$33.88	$47.86	$89.13
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $12.88 / $23.99	Professional	26	$9.33	$12.88	$23.99
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $34.67 / $67.61	Professional	TC	$24.55	$34.67	$67.61
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 $229.09 / $229.09 / $229.09	Facility	TC	$229.09	$229.09	$229.09
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $295.12 / $398.11	Professional		$52.48	$295.12	$398.11
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $91.20 / $91.20	Professional	26	$91.20	$91.20	$91.20
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $229.09 / $309.03 / $309.03	Professional	TC	$229.09	$309.03	$309.03
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.92 / $8.91 / $14.79	Facility	26	$6.92	$8.91	$14.79
Moda Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $29.51 / $107.15 / $602.56	Facility	TC	$29.51	$107.15	$602.56
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $54.95 / $128.82	Professional		$30.20	$54.95	$128.82
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $14.13 / $39.81	Professional	26	$7.94	$14.13	$39.81
Moda Health Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $43.65 / $123.03 / $416.87	Professional	50	$43.65	$123.03	$416.87
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $39.81 / $79.43	Professional	TC	$24.55	$39.81	$79.43
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $32.36 / $38.02	Professional		$9.33	$32.36	$38.02
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $46.77 / $97.72	Professional		$11.48	$46.77	$97.72
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.75 / $12.88 / $18.62	Facility	26	$2.75	$12.88	$18.62
Providence Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $8.91 / $41.69 / $60.26	Facility	TC	$8.91	$41.69	$60.26
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $47.86 / $100.00	Professional		$33.88	$47.86	$100.00
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $11.75 / $21.88	Professional	26	$9.12	$11.75	$21.88
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $33.11 / $60.26	Professional	TC	$24.55	$33.11	$60.26
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $42.66 / $95.50	Professional		$35.48	$42.66	$95.50
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $11.22 / $28.84	Professional	26	$9.55	$11.22	$28.84
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $30.90 / $53.70	Professional	TC	$25.12	$30.90	$53.70
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $48.98 / $58.88	Professional		$46.77	$48.98	$58.88
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $11.22 / $13.49	Professional	26	$11.22	$11.22	$13.49
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $38.02 / $45.71	Professional	TC	$36.31	$38.02	$45.71

Texas rates for HCPCS 73564