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 $85.11 / $309.03 / $741.31	Facility		$85.11	$309.03	$741.31
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $20.89 / $25.70 / $46.77	Facility	26	$20.89	$25.70	$46.77
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $91.20 / $316.23	Professional		$54.95	$91.20	$316.23
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $46.77 / $141.25	Professional	26	$25.12	$46.77	$141.25
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $60.26 / $173.78 / $645.65	Professional	50	$60.26	$173.78	$645.65
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $53.70 / $128.82	Professional	TC	$36.31	$53.70	$128.82
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $79.43 / $162.18	Professional		$64.57	$79.43	$162.18
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $33.88 / $63.10	Professional	26	$24.55	$33.88	$63.10
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $85.11 / $100.00 / $169.82	Professional	50	$85.11	$100.00	$169.82
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $48.98 / $67.61	Professional	TC	$37.15	$48.98	$67.61
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $194.98 / $338.84	Facility		$79.43	$194.98	$338.84
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $63.10 / $85.11	Professional		$25.12	$63.10	$85.11
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $177.83 / $398.11	Facility		$93.33	$177.83	$398.11
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $112.20 / $177.83	Professional		$74.13	$112.20	$177.83
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $66.07 / $81.28	Facility		$66.07	$66.07	$81.28
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $33.88 / $33.88	Professional	26	$30.20	$33.88	$33.88
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $208.93 / $363.08	Facility		$83.18	$208.93	$363.08
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $37.15 / $52.48	Facility	26	$7.94	$37.15	$52.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $91.20 / $173.78	Professional		$67.61	$91.20	$173.78
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $36.31 / $70.79	Professional	26	$26.30	$36.31	$70.79
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $56.23 / $112.20	Professional	TC	$40.74	$56.23	$112.20
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $204.17 / $204.17 / $204.17	Facility	26	$204.17	$204.17	$204.17
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $549.54 / $707.95	Professional		$95.50	$549.54	$707.95
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $204.17 / $263.03 / $263.03	Professional	26	$204.17	$263.03	$263.03
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $338.84 / $446.68 / $446.68	Professional	TC	$338.84	$446.68	$446.68
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $123.03 / $512.86	Facility		$70.79	$123.03	$512.86
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $20.89 / $26.92 / $43.65	Facility	26	$20.89	$26.92	$43.65
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $100.00 / $234.42	Professional		$58.88	$100.00	$234.42
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $42.66 / $95.50	Professional	26	$23.99	$42.66	$95.50
Moda Health Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $50.12 / $173.78 / $645.65	Professional	50	$50.12	$173.78	$645.65
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $61.66 / $120.23	Professional	TC	$38.90	$61.66	$120.23
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $33.11 / $70.79	Professional		$26.92	$33.11	$70.79
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $616.60 / $691.83	Facility		$257.04	$616.60	$691.83
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $67.61 / $151.36	Professional		$33.11	$67.61	$151.36
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $107.15 / $204.17	Facility		$70.79	$107.15	$204.17
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $37.15 / $53.70	Facility	26	$7.94	$37.15	$53.70
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $91.20 / $177.83	Professional		$67.61	$91.20	$177.83
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $33.88 / $63.10	Professional	26	$26.30	$33.88	$63.10
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $53.70 / $97.72	Professional	TC	$40.74	$53.70	$97.72
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $81.28 / $186.21	Facility		$64.57	$81.28	$186.21
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $93.33 / $158.49	Professional		$72.44	$93.33	$158.49
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $36.31 / $79.43	Professional	26	$28.18	$36.31	$79.43
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $123.03 / $123.03 / $125.89	Professional	50	$123.03	$123.03	$125.89
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $57.54 / $97.72	Professional	TC	$44.67	$57.54	$97.72
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $83.18 / $100.00	Professional		$79.43	$83.18	$100.00
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $32.36 / $38.02	Professional	26	$30.90	$32.36	$38.02
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $51.29 / $61.66	Professional	TC	$48.98	$51.29	$61.66

Texas rates for HCPCS 76642