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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $51.29 / $109.65	Professional		$38.90	$51.29	$109.65
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $22.39 / $91.20	Professional	26	$15.85	$22.39	$91.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $30.90 / $67.61	Professional	TC	$23.99	$30.90	$67.61
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $13.18 / $25.70	Professional	26	$13.18	$13.18	$25.70
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $42.66 / $109.65	Professional		$14.79	$42.66	$109.65
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $26.30 / $67.61	Professional	26	$25.70	$26.30	$67.61
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $42.66 / $125.89	Professional		$30.90	$42.66	$125.89
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $16.60 / $50.12	Professional	26	$13.18	$16.60	$50.12
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $26.92 / $81.28	Professional	TC	$18.62	$26.92	$81.28
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $169.82 / $169.82 / $169.82	Facility	26	$169.82	$169.82	$169.82
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $676.08 / $676.08	Professional		$436.52	$676.08	$676.08
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $213.80 / $218.78 / $218.78	Professional	26	$213.80	$218.78	$218.78
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $457.09 / $457.09	Professional	TC	$302.00	$457.09	$457.09
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $77.62 / $158.49	Professional		$39.81	$77.62	$158.49
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $34.67 / $81.28	Professional	26	$15.85	$34.67	$81.28
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $67.61 / $104.71	Professional	TC	$23.99	$67.61	$104.71
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $33.11 / $67.61	Professional		$25.12	$33.11	$67.61
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $87.10 / $181.97	Professional		$28.84	$87.10	$181.97
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $46.77 / $141.25	Professional		$31.62	$46.77	$141.25
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $18.20 / $48.98	Professional	26	$13.18	$18.20	$48.98
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $26.92 / $79.43	Professional	TC	$18.62	$26.92	$79.43
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $48.98 / $138.04	Professional		$40.74	$48.98	$138.04
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $20.42 / $58.88	Professional	26	$16.22	$20.42	$58.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $28.18 / $81.28	Professional	TC	$23.99	$28.18	$81.28
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $43.65 / $85.11	Professional		$26.92	$43.65	$85.11
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $13.80 / $26.92	Professional	26	$11.48	$13.80	$26.92
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $29.51 / $57.54	Professional	TC	$15.85	$29.51	$57.54

Texas rates for HCPCS 88104