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 $89.13 / $562.34 / $954.99	Facility		$89.13	$562.34	$954.99
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.77 / $10.96 / $22.39	Facility	26	$9.77	$10.96	$22.39
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $95.50 / $165.96	Professional		$70.79	$95.50	$165.96
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $15.14 / $39.81	Professional	26	$10.96	$15.14	$39.81
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $77.62 / $131.83	Professional	TC	$58.88	$77.62	$131.83
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $79.43 / $125.89	Professional		$66.07	$79.43	$125.89
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $21.38 / $37.15	Professional	26	$15.14	$21.38	$37.15
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $251.19 / $602.56 / $1,047.13	Facility		$251.19	$602.56	$1,047.13
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $70.79 / $109.65	Professional		$13.80	$70.79	$109.65
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $117.49 / $380.19 / $1,071.52	Facility		$117.49	$380.19	$1,071.52
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $64.57 / $162.18	Professional		$56.23	$64.57	$162.18
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $154.88 / $154.88	Facility		$93.33	$154.88	$154.88
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $14.45 / $16.22	Professional	26	$14.45	$14.45	$16.22
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $346.74 / $724.44	Facility		$154.88	$346.74	$724.44
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.80 / $17.78 / $25.12	Facility	26	$3.80	$17.78	$25.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $102.33 / $194.98	Professional		$72.44	$102.33	$194.98
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $18.20 / $34.67	Professional	26	$12.88	$18.20	$34.67
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $83.18 / $165.96	Professional	TC	$58.88	$83.18	$165.96
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
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 Professional Modifier Typical Low / Median / Typical High $691.83 / $851.14 / $851.14	Professional		$691.83	$851.14	$851.14
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Professional	26	$151.36	$151.36	$151.36
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $588.84 / $724.44 / $724.44	Professional	TC	$588.84	$724.44	$724.44
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $120.23 / $245.47	Facility		$85.11	$120.23	$245.47
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.77 / $12.02 / $20.42	Facility	26	$9.77	$12.02	$20.42
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $112.20 / $234.42	Professional		$79.43	$112.20	$234.42
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $18.62 / $39.81	Professional	26	$11.75	$18.62	$39.81
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $91.20 / $194.98	Professional	TC	$64.57	$91.20	$194.98
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $33.11 / $87.10	Professional		$12.88	$33.11	$87.10
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $186.21 / $295.12	Professional		$141.25	$186.21	$295.12
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $123.03 / $251.19	Facility		$85.11	$123.03	$251.19
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.98 / $18.62 / $26.30	Facility	26	$3.98	$18.62	$26.30
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $104.71 / $208.93	Professional		$72.44	$104.71	$208.93
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $16.60 / $30.20	Professional	26	$12.88	$16.60	$30.20
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $79.43 / $144.54	Professional	TC	$57.54	$79.43	$144.54
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $229.09 / $524.81	Facility		$77.62	$229.09	$524.81
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $93.33 / $173.78	Professional		$74.13	$93.33	$173.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $16.22 / $34.67	Professional	26	$13.80	$16.22	$34.67
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $77.62 / $131.83	Professional	TC	$61.66	$77.62	$131.83
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $104.71 / $125.89	Professional		$100.00	$104.71	$125.89
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $15.85 / $19.05	Professional	26	$15.49	$15.85	$19.05
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $89.13 / $107.15	Professional	TC	$85.11	$89.13	$107.15

Texas rates for HCPCS 74455