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 Typical Low / Median / Typical High $263.03 / $263.03 / $660.69	Facility		$263.03	$263.03	$660.69
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $123.03 / $288.40	Professional		$95.50	$123.03	$288.40
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $100.00 / $426.58	Professional	26	$41.69	$100.00	$426.58
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $67.61 / $154.88	Professional	TC	$52.48	$67.61	$154.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $144.54 / $208.93	Professional		$85.11	$144.54	$208.93
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $64.57 / $89.13	Professional	26	$32.36	$64.57	$89.13
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $74.13 / $95.50	Professional	TC	$47.86	$74.13	$95.50
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $93.33 / $234.42	Professional		$36.31	$93.33	$234.42
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $199.53 / $245.47	Professional		$112.20	$199.53	$245.47
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $158.49 / $162.18	Facility		$67.61	$158.49	$162.18
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $64.57 / $64.57	Professional	26	$63.10	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $93.33 / $269.15	Professional		$66.07	$93.33	$269.15
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $41.69 / $144.54	Professional	26	$33.11	$41.69	$144.54
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $51.29 / $162.18	Professional	TC	$32.36	$51.29	$162.18
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $436.52 / $436.52 / $436.52	Facility	26	$436.52	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $436.52 / $537.03 / $537.03	Professional	26	$436.52	$537.03	$537.03
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $562.34 / $891.25 / $891.25	Professional	TC	$562.34	$891.25	$891.25
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $165.96 / $275.42	Facility		$91.20	$165.96	$275.42
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $173.78 / $309.03	Professional		$85.11	$173.78	$309.03
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $91.20 / $275.42	Professional	26	$42.66	$91.20	$275.42
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $117.49 / $194.98	Professional	TC	$52.48	$117.49	$194.98
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $165.96 / $346.74	Professional		$69.18	$165.96	$346.74
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $165.96 / $275.42	Facility		$91.20	$165.96	$275.42
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $104.71 / $302.00	Professional		$66.07	$104.71	$302.00
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $46.77 / $147.91	Professional	26	$33.11	$46.77	$147.91
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $51.29 / $158.49	Professional	TC	$34.67	$51.29	$158.49
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $74.13 / $125.89	Facility		$50.12	$74.13	$125.89
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $107.15 / $316.23	Professional		$83.18	$107.15	$316.23
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $51.29 / $147.91	Professional	26	$40.74	$51.29	$147.91
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $58.88 / $165.96	Professional	TC	$42.66	$58.88	$165.96
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $87.10 / $165.96	Professional		$61.66	$87.10	$165.96
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $33.88 / $66.07	Professional	26	$28.84	$33.88	$66.07
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $52.48 / $100.00	Professional	TC	$32.36	$52.48	$100.00

Texas rates for HCPCS 88173