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 $24.55 / $28.84 / $51.29	Facility	26	$24.55	$28.84	$51.29
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $117.49 / $234.42	Professional		$85.11	$117.49	$234.42
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $39.81 / $107.15	Professional	26	$26.92	$39.81	$107.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $79.43 / $128.82	Professional	TC	$57.54	$79.43	$128.82
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $37.15 / $81.28	Professional	26	$30.90	$37.15	$81.28
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $93.33 / $128.82	Professional		$29.51	$93.33	$128.82
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $125.89 / $151.36	Professional		$104.71	$125.89	$151.36
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $35.48 / $38.90	Professional	26	$35.48	$35.48	$38.90
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.33 / $43.65 / $61.66	Facility	26	$9.33	$43.65	$61.66
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $123.03 / $234.42	Professional		$91.20	$123.03	$234.42
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $40.74 / $75.86	Professional	26	$28.84	$40.74	$75.86
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $85.11 / $165.96	Professional	TC	$60.26	$85.11	$165.96
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $239.88 / $239.88 / $239.88	Facility	26	$239.88	$239.88	$239.88
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $812.83 / $1,000.00 / $1,000.00	Professional		$812.83	$1,000.00	$1,000.00
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $239.88 / $309.03 / $309.03	Professional	26	$239.88	$309.03	$309.03
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $575.44 / $707.95 / $707.95	Professional	TC	$575.44	$707.95	$707.95
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $24.55 / $31.62 / $51.29	Facility	26	$24.55	$31.62	$51.29
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $134.90 / $281.84	Professional		$87.10	$134.90	$281.84
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $44.67 / $93.33	Professional	26	$26.92	$44.67	$93.33
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $91.20 / $190.55	Professional	TC	$61.66	$91.20	$190.55
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $33.11 / $97.72	Professional		$31.62	$33.11	$97.72
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $125.89 / $251.19	Professional		$39.81	$125.89	$251.19
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.55 / $44.67 / $64.57	Facility	26	$9.55	$44.67	$64.57
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $123.03 / $269.15	Professional		$91.20	$123.03	$269.15
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $38.90 / $69.18	Professional	26	$28.18	$38.90	$69.18
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $79.43 / $154.88	Professional	TC	$58.88	$79.43	$154.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $117.49 / $213.80	Professional		$95.50	$117.49	$213.80
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $39.81 / $83.18	Professional	26	$30.90	$39.81	$83.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $79.43 / $131.83	Professional	TC	$64.57	$79.43	$131.83
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $123.03 / $144.54	Professional		$117.49	$123.03	$144.54
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $38.02 / $45.71	Professional	26	$37.15	$38.02	$45.71
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $83.18 / $100.00	Professional	TC	$79.43	$83.18	$100.00

Texas rates for HCPCS 74240