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 $63.10 / $63.10 / $64.57	Facility		$63.10	$63.10	$64.57
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $47.86 / $47.86 / $47.86	Facility	TC	$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $38.02 / $138.04	Professional		$25.12	$38.02	$138.04
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $20.42 / $70.79	Professional	26	$7.08	$20.42	$70.79
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $25.70 / $61.66	Professional	TC	$18.20	$25.70	$61.66
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $38.90 / $51.29	Professional		$20.42	$38.90	$51.29
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.13 / $10.23 / $14.45	Professional	26	$5.13	$10.23	$14.45
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.45 / $16.60 / $31.62	Professional	TC	$14.45	$16.60	$31.62
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $23.44 / $57.54	Professional		$6.03	$23.44	$57.54
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $56.23 / $79.43	Professional		$40.74	$56.23	$79.43
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.90 / $39.81 / $39.81	Facility		$38.90	$39.81	$39.81
Christus Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $28.18 / $28.84 / $29.51	Facility	TC	$28.18	$28.84	$29.51
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $10.23 / $10.47	Professional	26	$10.00	$10.23	$10.47
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $30.90 / $87.10	Professional		$20.89	$30.90	$87.10
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.25 / $6.92 / $33.88	Professional	26	$5.25	$6.92	$33.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.45 / $23.44 / $63.10	Professional	TC	$14.45	$23.44	$63.10
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Facility	TC	$190.55	$190.55	$190.55
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $363.08 / $371.54	Professional		$54.95	$363.08	$371.54
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Professional	26	$199.53	$199.53	$199.53
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $269.15 / $269.15 / $275.42	Professional	TC	$269.15	$269.15	$275.42
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $58.88 / $107.15	Facility		$33.11	$58.88	$107.15
Moda Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $47.86 / $47.86 / $47.86	Facility	TC	$47.86	$47.86	$47.86
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $56.23 / $138.04	Professional		$25.12	$56.23	$138.04
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.92 / $16.60 / $104.71	Professional	26	$6.92	$16.60	$104.71
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $38.02 / $67.61	Professional	TC	$18.20	$38.02	$67.61
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $32.36 / $36.31	Professional		$9.33	$32.36	$36.31
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $38.90 / $85.11	Professional		$11.22	$38.90	$85.11
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $31.62 / $57.54 / $109.65	Facility		$31.62	$57.54	$109.65
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $31.62 / $114.82	Professional		$19.95	$31.62	$114.82
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.25 / $6.92 / $30.20	Professional	26	$5.25	$6.92	$30.20
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $22.39 / $69.18	Professional	TC	$14.13	$22.39	$69.18
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.18 / $19.95 / $33.11	Facility		$13.18	$19.95	$33.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $37.15 / $89.13	Professional		$25.12	$37.15	$89.13
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $8.91 / $33.88	Professional	26	$6.61	$8.91	$33.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $30.20 / $66.07	Professional	TC	$17.78	$30.20	$66.07
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $21.38 / $40.74	Professional		$16.22	$21.38	$40.74
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $4.68 / $5.37 / $10.47	Professional	26	$4.68	$5.37	$10.47
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.75 / $15.85 / $30.90	Professional	TC	$11.75	$15.85	$30.90

Texas rates for HCPCS 88304