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 $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $12.59 / $12.59 / $12.59	Facility	TC	$12.59	$12.59	$12.59
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $15.85 / $33.11	Professional		$12.02	$15.85	$33.11
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $17.38 / $74.13	Professional	26	$7.08	$17.38	$74.13
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.01 / $6.03 / $12.88	Professional	TC	$5.01	$6.03	$12.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $19.05 / $19.95	Professional		$9.77	$19.05	$19.95
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.62 / $11.48 / $15.49	Professional	26	$5.62	$11.48	$15.49
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.98 / $4.07 / $7.59	Professional	TC	$3.98	$4.07	$7.59
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.46 / $6.46 / $6.46	Facility		$6.46	$6.46	$6.46
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.46 / $16.22 / $27.54	Professional		$6.46	$16.22	$27.54
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $25.12 / $32.36	Professional		$17.78	$25.12	$32.36
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.02 / $19.05 / $19.05	Facility		$12.02	$19.05	$19.05
Christus Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $7.59 / $7.94 / $7.94	Facility	TC	$7.59	$7.94	$7.94
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $11.22 / $11.22	Professional	26	$10.96	$11.22	$11.22
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $12.59 / $38.02	Professional		$9.12	$12.59	$38.02
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.75 / $7.24 / $26.30	Professional	26	$5.75	$7.24	$26.30
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.09 / $4.68 / $14.79	Professional	TC	$3.09	$4.68	$14.79
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
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 $100.00 / $100.00 / $100.00	Facility	TC	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $169.82 / $169.82	Professional		$131.83	$169.82	$169.82
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Professional	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Professional	TC	$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $23.44 / $40.74	Facility		$15.85	$23.44	$40.74
Moda Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $12.59 / $12.59 / $12.59	Facility	TC	$12.59	$12.59	$12.59
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $24.55 / $44.67	Professional		$12.02	$24.55	$44.67
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $15.85 / $47.86	Professional	26	$7.08	$15.85	$47.86
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.01 / $10.23 / $19.05	Professional	TC	$5.01	$10.23	$19.05
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.55 / $32.36 / $33.11	Professional		$9.55	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $19.95 / $41.69	Professional		$8.91	$19.95	$41.69
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.49 / $23.44 / $40.74	Facility		$15.49	$23.44	$40.74
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $13.80 / $54.95	Professional		$9.12	$13.80	$54.95
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.75 / $7.24 / $26.30	Professional	26	$5.75	$7.24	$26.30
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.24 / $4.90 / $15.49	Professional	TC	$3.24	$4.90	$15.49
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.24 / $10.96 / $18.20	Facility		$7.24	$10.96	$18.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $15.49 / $48.98	Professional		$11.48	$15.49	$48.98
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $9.33 / $28.84	Professional	26	$7.08	$9.33	$28.84
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $4.27 / $5.89 / $17.78	Professional	TC	$4.27	$5.89	$17.78
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $10.23 / $19.95	Professional		$8.51	$10.23	$19.95
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.13 / $5.89 / $11.48	Professional	26	$5.13	$5.89	$11.48
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.55 / $4.27 / $8.51	Professional	TC	$3.55	$4.27	$8.51

Texas rates for HCPCS 88311