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 $39.81 / $52.48 / $93.33	Professional		$39.81	$52.48	$93.33
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $19.05 / $36.31	Professional	26	$14.13	$19.05	$36.31
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $34.67 / $64.57	Professional	TC	$25.12	$34.67	$64.57
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $43.65 / $114.82	Professional		$13.49	$43.65	$114.82
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $23.44 / $23.99	Professional	26	$23.44	$23.44	$23.99
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $42.66 / $131.83	Professional		$26.92	$42.66	$131.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $15.14 / $45.71	Professional	26	$11.48	$15.14	$45.71
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $28.84 / $87.10	Professional	TC	$15.14	$28.84	$87.10
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $154.88 / $154.88 / $154.88	Facility	26	$154.88	$154.88	$154.88
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $707.95 / $707.95	Professional		$467.74	$707.95	$707.95
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $194.98 / $199.53 / $199.53	Professional	26	$194.98	$199.53	$199.53
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $309.03 / $501.19 / $501.19	Professional	TC	$309.03	$501.19	$501.19
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $97.72 / $154.88	Professional		$43.65	$97.72	$154.88
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $30.20 / $47.86	Professional	26	$15.14	$30.20	$47.86
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $74.13 / $112.20	Professional	TC	$28.84	$74.13	$112.20
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $33.11 / $70.79	Professional		$22.91	$33.11	$70.79
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $85.11 / $181.97	Professional		$25.70	$85.11	$181.97
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $50.12 / $141.25	Professional		$27.54	$50.12	$141.25
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $15.14 / $45.71	Professional	26	$11.48	$15.14	$45.71
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $28.84 / $87.10	Professional	TC	$15.14	$28.84	$87.10
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $48.98 / $138.04	Professional		$34.67	$48.98	$138.04
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $18.20 / $52.48	Professional	26	$14.45	$18.20	$52.48
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $30.20 / $87.10	Professional	TC	$19.95	$30.20	$87.10
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $42.66 / $83.18	Professional		$26.92	$42.66	$83.18
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $12.59 / $23.99	Professional	26	$10.23	$12.59	$23.99
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $30.20 / $58.88	Professional	TC	$16.98	$30.20	$58.88

Texas rates for HCPCS 88161