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 $53.70 / $61.66 / $70.79	Facility	26	$53.70	$61.66	$70.79
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $181.97 / $501.19	Professional		$125.89	$181.97	$501.19
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $194.98 / $251.19	Professional		$151.36	$194.98	$251.19
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $147.91 / $199.53	Professional		$66.07	$147.91	$199.53
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $213.80 / $416.87	Professional		$165.96	$213.80	$416.87
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $20.42 / $95.50 / $138.04	Facility	26	$20.42	$95.50	$138.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $204.17 / $398.11	Professional		$154.88	$204.17	$398.11
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $537.03 / $537.03 / $537.03	Facility	26	$537.03	$537.03	$537.03
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,230.27 / $1,584.89 / $1,584.89	Professional		$1,230.27	$1,584.89	$1,584.89
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $56.23 / $77.62 / $112.20	Facility	26	$56.23	$77.62	$112.20
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $223.87 / $436.52	Professional		$134.90	$223.87	$436.52
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $77.62 / $169.82	Professional		$32.36	$77.62	$169.82
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $186.21 / $436.52	Professional		$89.13	$186.21	$436.52
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $21.88 / $100.00 / $144.54	Facility	26	$21.88	$100.00	$144.54
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $199.53 / $407.38	Professional		$154.88	$199.53	$407.38
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $208.93 / $323.59	Professional		$162.18	$208.93	$323.59
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $194.98 / $234.42	Professional		$186.21	$194.98	$234.42

Texas rates for HCPCS 76812