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 $97.72 / $457.09 / $933.25	Facility		$97.72	$457.09	$933.25
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $17.38 / $21.88 / $35.48	Facility	26	$17.38	$21.88	$35.48
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $128.82 / $436.52	Professional		$85.11	$128.82	$436.52
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $35.48 / $112.20	Professional	26	$20.42	$35.48	$112.20
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $28.18 / $83.18 / $239.88	Professional	52	$28.18	$83.18	$239.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $85.11 / $181.97	Professional	TC	$61.66	$85.11	$181.97
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $95.50 / $144.54	Professional		$72.44	$95.50	$144.54
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $26.92 / $50.12	Professional	26	$19.95	$26.92	$50.12
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $77.62 / $109.65	Professional	TC	$54.95	$77.62	$109.65
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $288.40 / $512.86	Facility		$114.82	$288.40	$512.86
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $79.43 / $107.15	Professional		$21.88	$79.43	$107.15
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $190.55 / $1,122.02	Facility		$112.20	$190.55	$1,122.02
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $128.82 / $229.09	Professional		$91.20	$128.82	$229.09
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $102.33 / $104.71	Facility		$100.00	$102.33	$104.71
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $72.44 / $72.44	Professional	26	$25.12	$72.44	$72.44
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $331.13 / $489.78	Facility		$120.23	$331.13	$489.78
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.61 / $30.90 / $43.65	Facility	26	$6.61	$30.90	$43.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $117.49 / $229.09	Professional		$87.10	$117.49	$229.09
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $29.51 / $57.54	Professional	26	$21.88	$29.51	$57.54
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $87.10 / $181.97	Professional	TC	$66.07	$87.10	$181.97
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $169.82 / $169.82 / $169.82	Facility	26	$169.82	$169.82	$169.82
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $724.44 / $912.01	Professional		$131.83	$724.44	$912.01
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $269.15 / $269.15 / $269.15	Professional	26	$269.15	$269.15	$269.15
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $549.54 / $707.95 / $707.95	Professional	TC	$549.54	$707.95	$707.95
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $151.36 / $645.65	Facility		$91.20	$151.36	$645.65
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $17.38 / $22.39 / $35.48	Facility	26	$17.38	$22.39	$35.48
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $134.90 / $275.42	Professional		$83.18	$134.90	$275.42
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $34.67 / $75.86	Professional	26	$19.95	$34.67	$75.86
Moda Health Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $28.18 / $102.33 / $239.88	Professional	52	$28.18	$102.33	$239.88
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $97.72 / $190.55	Professional	TC	$63.10	$97.72	$190.55
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $33.11 / $93.33	Professional		$22.39	$33.11	$93.33
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $218.78 / $316.23	Facility		$131.83	$218.78	$316.23
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $102.33 / $257.04	Professional		$27.54	$102.33	$257.04
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $141.25 / $263.03	Facility		$93.33	$141.25	$263.03
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.76 / $30.90 / $44.67	Facility	26	$6.76	$30.90	$44.67
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $114.82 / $234.42	Professional		$87.10	$114.82	$234.42
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $27.54 / $51.29	Professional	26	$21.88	$27.54	$51.29
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $83.18 / $165.96	Professional	TC	$64.57	$83.18	$165.96
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $109.65 / $251.19	Facility		$77.62	$109.65	$251.19
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $120.23 / $199.53	Professional		$95.50	$120.23	$199.53
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $28.84 / $63.10	Professional	26	$22.91	$28.84	$63.10
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $93.33 / $151.36	Professional	TC	$72.44	$93.33	$151.36
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $109.65 / $128.82	Professional		$104.71	$109.65	$128.82
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $26.92 / $32.36	Professional	26	$25.70	$26.92	$32.36
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $81.28 / $97.72	Professional	TC	$77.62	$81.28	$97.72

Texas rates for HCPCS 76536