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 $20.89 / $26.92 / $42.66	Facility	26	$20.89	$26.92	$42.66
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $154.88 / $478.63	Professional		$91.20	$154.88	$478.63
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $46.77 / $128.82	Professional	26	$25.12	$46.77	$128.82
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $40.74 / $95.50 / $275.42	Professional	52	$40.74	$95.50	$275.42
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $93.33 / $208.93	Professional	TC	$64.57	$93.33	$208.93
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $114.82 / $158.49	Professional		$75.86	$114.82	$158.49
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $34.67 / $61.66	Professional	26	$25.70	$34.67	$61.66
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $30.90 / $48.98 / $50.12	Professional	52	$30.90	$48.98	$50.12
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $72.44 / $95.50	Professional	TC	$56.23	$72.44	$95.50
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $85.11 / $114.82	Professional		$26.92	$85.11	$114.82
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $141.25 / $269.15	Professional		$102.33	$141.25	$269.15
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $89.13 / $89.13	Professional	26	$30.90	$89.13	$89.13
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $37.15 / $53.70	Facility	26	$7.94	$37.15	$53.70
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $123.03 / $239.88	Professional		$93.33	$123.03	$239.88
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $36.31 / $72.44	Professional	26	$26.92	$36.31	$72.44
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $85.11 / $169.82	Professional	TC	$63.10	$85.11	$169.82
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $208.93 / $208.93 / $208.93	Facility	26	$208.93	$208.93	$208.93
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $776.25 / $977.24	Professional		$131.83	$776.25	$977.24
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $302.00 / $302.00 / $302.00	Professional	26	$302.00	$302.00	$302.00
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $575.44 / $724.44 / $724.44	Professional	TC	$575.44	$724.44	$724.44
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $21.38 / $26.92 / $43.65	Facility	26	$21.38	$26.92	$43.65
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $144.54 / $316.23	Professional		$89.13	$144.54	$316.23
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $41.69 / $93.33	Professional	26	$24.55	$41.69	$93.33
Moda Health Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $40.74 / $91.20 / $275.42	Professional	52	$40.74	$91.20	$275.42
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $100.00 / $194.98	Professional	TC	$64.57	$100.00	$194.98
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $33.11 / $95.50	Professional		$25.70	$33.11	$95.50
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $109.65 / $234.42	Professional		$33.88	$109.65	$234.42
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.13 / $38.02 / $54.95	Facility	26	$8.13	$38.02	$54.95
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $120.23 / $239.88	Professional		$93.33	$120.23	$239.88
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $33.88 / $63.10	Professional	26	$26.92	$33.88	$63.10
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $81.28 / $158.49	Professional	TC	$61.66	$81.28	$158.49
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $128.82 / $223.87	Professional		$95.50	$128.82	$223.87
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $36.31 / $79.43	Professional	26	$28.84	$36.31	$79.43
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $93.33 / $158.49	Professional	TC	$74.13	$93.33	$158.49
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $117.49 / $141.25	Professional		$112.20	$117.49	$141.25
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $33.11 / $39.81	Professional	26	$31.62	$33.11	$39.81
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $85.11 / $100.00	Professional	TC	$81.28	$85.11	$100.00

Texas rates for HCPCS 76830