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 $16.22 / $19.05 / $36.31	Facility	26	$16.22	$19.05	$36.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $112.20 / $223.87	Professional		$85.11	$112.20	$223.87
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $26.92 / $79.43	Professional	26	$19.50	$26.92	$79.43
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $89.13 / $151.36	Professional	TC	$67.61	$89.13	$151.36
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $95.50 / $117.49	Professional		$95.50	$95.50	$117.49
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $26.30 / $47.86	Professional	26	$19.50	$26.30	$47.86
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $93.33 / $120.23	Professional		$19.50	$93.33	$120.23
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $120.23 / $190.55	Professional		$97.72	$120.23	$190.55
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $26.30 / $26.30	Professional	26	$23.44	$26.30	$26.30
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.17 / $28.84 / $40.74	Facility	26	$6.17	$28.84	$40.74
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $120.23 / $239.88	Professional		$81.28	$120.23	$239.88
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $29.51 / $54.95	Professional	26	$21.38	$29.51	$54.95
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $93.33 / $190.55	Professional	TC	$56.23	$93.33	$190.55
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Facility	26	$162.18	$162.18	$162.18
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $851.14 / $1,023.29 / $1,023.29	Professional		$851.14	$1,023.29	$1,023.29
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $204.17 / $204.17 / $204.17	Professional	26	$204.17	$204.17	$204.17
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $676.08 / $812.83 / $812.83	Professional	TC	$676.08	$812.83	$812.83
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $16.22 / $20.89 / $33.11	Facility	26	$16.22	$20.89	$33.11
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $138.04 / $281.84	Professional		$89.13	$138.04	$281.84
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $30.90 / $66.07	Professional	26	$19.05	$30.90	$66.07
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $107.15 / $213.80	Professional	TC	$69.18	$107.15	$213.80
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $33.11 / $100.00	Professional		$20.89	$33.11	$100.00
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $199.53 / $354.81	Professional		$141.25	$199.53	$354.81
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.31 / $29.51 / $41.69	Facility	26	$6.31	$29.51	$41.69
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $120.23 / $257.04	Professional		$79.43	$120.23	$257.04
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $27.54 / $48.98	Professional	26	$21.38	$27.54	$48.98
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $91.20 / $169.82	Professional	TC	$56.23	$91.20	$169.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $123.03 / $223.87	Professional		$87.10	$123.03	$223.87
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $25.70 / $60.26	Professional	26	$21.88	$25.70	$60.26
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $97.72 / $154.88	Professional	TC	$61.66	$97.72	$154.88
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $120.23 / $144.54	Professional		$114.82	$120.23	$144.54
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $25.12 / $30.20	Professional	26	$23.99	$25.12	$30.20
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $95.50 / $112.20	Professional	TC	$91.20	$95.50	$112.20

Texas rates for HCPCS 74230