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 $17.78 / $20.42 / $36.31	Facility	26	$17.78	$20.42	$36.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $70.79 / $234.42	Professional		$42.66	$70.79	$234.42
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $30.90 / $107.15	Professional	26	$19.95	$30.90	$107.15
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $45.71 / $85.11 / $446.68	Professional	52	$45.71	$85.11	$446.68
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $36.31 / $91.20	Professional	TC	$21.88	$36.31	$91.20
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $46.77 / $77.62	Professional		$40.74	$46.77	$77.62
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $27.54 / $56.23	Professional	26	$20.42	$27.54	$56.23
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $4.37 / $13.49 / $120.23	Professional	52	$4.37	$13.49	$120.23
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $22.39 / $26.30	Professional	TC	$22.39	$22.39	$26.30
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $45.71 / $61.66	Professional		$20.89	$45.71	$61.66
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $75.86 / $95.50	Professional		$53.70	$75.86	$95.50
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $45.71 / $45.71	Professional	26	$25.70	$45.71	$45.71
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.61 / $30.90 / $44.67	Facility	26	$6.61	$30.90	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $81.28 / $162.18	Professional		$48.98	$81.28	$162.18
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $29.51 / $56.23	Professional	26	$21.88	$29.51	$56.23
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $52.48 / $102.33	Professional	TC	$25.70	$52.48	$102.33
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Facility	26	$173.78	$173.78	$173.78
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $478.63 / $478.63	Professional		$467.74	$478.63	$478.63
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $275.42 / $275.42 / $275.42	Professional	26	$275.42	$275.42	$275.42
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $407.38 / $407.38 / $407.38	Professional	TC	$407.38	$407.38	$407.38
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $17.78 / $22.91 / $36.31	Facility	26	$17.78	$22.91	$36.31
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $79.43 / $165.96	Professional		$43.65	$79.43	$165.96
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $34.67 / $69.18	Professional	26	$19.95	$34.67	$69.18
Moda Health Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $43.65 / $85.11 / $426.58	Professional	52	$43.65	$85.11	$426.58
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $44.67 / $95.50	Professional	TC	$22.39	$44.67	$95.50
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $32.36 / $47.86	Professional		$22.39	$32.36	$47.86
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $60.26 / $154.88	Professional		$28.84	$60.26	$154.88
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.08 / $33.11 / $46.77	Facility	26	$7.08	$33.11	$46.77
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $79.43 / $158.49	Professional		$48.98	$79.43	$158.49
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $28.18 / $50.12	Professional	26	$21.88	$28.18	$50.12
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $48.98 / $100.00	Professional	TC	$25.70	$48.98	$100.00
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $93.33 / $138.04	Professional		$67.61	$93.33	$138.04
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $29.51 / $67.61	Professional	26	$23.44	$29.51	$67.61
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $61.66 / $89.13	Professional	TC	$40.74	$61.66	$89.13
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $61.66 / $74.13	Professional		$58.88	$61.66	$74.13
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $28.18 / $33.88	Professional	26	$26.92	$28.18	$33.88
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $33.11 / $39.81	Professional	TC	$31.62	$33.11	$39.81

Texas rates for HCPCS 76604