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 $26.92 / $30.90 / $40.74	Facility	26	$26.92	$30.90	$40.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $190.55 / $309.03	Professional		$154.88	$190.55	$309.03
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $154.88 / $263.03	Professional	TC	$123.03	$154.88	$263.03
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $165.96 / $204.17	Professional		$36.31	$165.96	$204.17
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $263.03 / $467.74	Professional		$173.78	$263.03	$467.74
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $213.80 / $363.08	Professional	TC	$138.04	$213.80	$363.08
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $275.42 / $275.42 / $275.42	Facility	26	$275.42	$275.42	$275.42
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,445.44 / $1,737.80 / $1,737.80	Professional		$1,445.44	$1,737.80	$1,737.80
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,202.26 / $1,380.38 / $1,380.38	Professional	TC	$1,202.26	$1,380.38	$1,380.38
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $29.51 / $38.90 / $57.54	Facility	26	$29.51	$38.90	$57.54
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $309.03 / $724.44	Professional		$162.18	$309.03	$724.44
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $245.47 / $602.56	Professional	TC	$125.89	$245.47	$602.56
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $234.42 / $436.52	Professional		$173.78	$234.42	$436.52
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $199.53 / $354.81	Professional	TC	$134.90	$199.53	$354.81
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $229.09 / $354.81	Professional		$186.21	$229.09	$354.81
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $151.36 / $186.21 / $288.40	Professional	TC	$151.36	$186.21	$288.40
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $194.98 / $204.17	Professional		$194.98	$194.98	$204.17
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $151.36 / $151.36 / $162.18	Professional	TC	$151.36	$151.36	$162.18

Texas rates for HCPCS 78469