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 $107.15 / $109.65 / $213.80	Facility		$107.15	$109.65	$213.80
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $53.70 / $53.70 / $53.70	Facility	TC	$53.70	$53.70	$53.70
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $81.28 / $489.78	Professional		$50.12	$81.28	$489.78
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $83.18 / $776.25	Professional	26	$26.92	$83.18	$776.25
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $39.81 / $177.83	Professional	TC	$21.38	$39.81	$177.83
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $67.61 / $89.13	Professional		$33.88	$67.61	$89.13
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $34.67 / $46.77	Professional	26	$17.38	$34.67	$46.77
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $19.05 / $33.11	Professional	TC	$16.22	$19.05	$33.11
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $48.98 / $97.72	Professional		$19.50	$48.98	$97.72
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $85.11 / $112.20	Professional		$63.10	$85.11	$112.20
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $66.07 / $67.61	Facility		$50.12	$66.07	$67.61
Christus Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $32.36 / $32.36 / $33.11	Facility	TC	$32.36	$32.36	$33.11
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $34.67 / $69.18	Professional	26	$33.88	$34.67	$69.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $52.48 / $151.36	Professional		$35.48	$52.48	$151.36
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $22.39 / $138.04	Professional	26	$17.78	$22.39	$138.04
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $31.62 / $79.43	Professional	TC	$15.85	$31.62	$79.43
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $229.09 / $229.09 / $229.09	Facility	26	$229.09	$229.09	$229.09
Lucent Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $218.78 / $218.78 / $218.78	Facility	TC	$218.78	$218.78	$218.78
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $562.34 / $588.84	Professional		$87.10	$562.34	$588.84
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $302.00 / $302.00 / $302.00	Professional	26	$302.00	$302.00	$302.00
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $354.81 / $363.08	Professional	TC	$354.81	$354.81	$363.08
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $58.88 / $100.00 / $169.82	Facility		$58.88	$100.00	$169.82
Moda Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $53.70 / $53.70 / $53.70	Facility	TC	$53.70	$53.70	$53.70
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $93.33 / $338.84	Professional		$44.67	$93.33	$338.84
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $70.79 / $741.31	Professional	26	$23.99	$70.79	$741.31
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $45.71 / $104.71	Professional	TC	$20.89	$45.71	$104.71
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $33.11 / $60.26	Professional		$30.20	$33.11	$60.26
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $67.61 / $141.25	Professional		$34.67	$67.61	$141.25
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $97.72 / $169.82	Facility		$56.23	$97.72	$169.82
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $53.70 / $186.21	Professional		$34.67	$53.70	$186.21
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $22.39 / $144.54	Professional	26	$17.38	$22.39	$144.54
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $28.84 / $81.28	Professional	TC	$15.85	$28.84	$81.28
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.39 / $33.11 / $56.23	Facility		$22.39	$33.11	$56.23
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $63.10 / $162.18	Professional		$42.66	$63.10	$162.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $33.11 / $87.10	Professional	26	$21.88	$33.11	$87.10
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $32.36 / $79.43	Professional	TC	$19.05	$32.36	$79.43
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $52.48 / $70.79	Professional		$28.18	$52.48	$70.79
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $15.49 / $35.48	Professional	26	$15.49	$15.49	$35.48
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.59 / $12.59 / $34.67	Professional	TC	$12.59	$12.59	$34.67

Texas rates for HCPCS 88305