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 $69.18 / $89.13 / $194.98	Professional		$69.18	$89.13	$194.98
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $81.28 / $218.78	Professional	26	$52.48	$81.28	$218.78
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $20.89 / $58.88	Professional	TC	$15.85	$20.89	$58.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $37.15 / $112.20	Professional		$37.15	$37.15	$112.20
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $40.74 / $87.10	Professional	26	$40.74	$40.74	$87.10
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $117.49 / $158.49	Professional		$46.77	$117.49	$158.49
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $154.88 / $169.82	Professional		$154.88	$154.88	$169.82
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Professional	26	$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $77.62 / $213.80	Professional		$57.54	$77.62	$213.80
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $53.70 / $151.36	Professional	26	$40.74	$53.70	$151.36
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.49 / $28.18 / $66.07	Professional	TC	$13.49	$28.18	$66.07
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $537.03 / $537.03 / $537.03	Facility	26	$537.03	$537.03	$537.03
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $933.25 / $933.25	Professional		$794.33	$933.25	$933.25
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $537.03 / $691.83 / $691.83	Professional	26	$537.03	$691.83	$691.83
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Professional	TC	$354.81	$354.81	$354.81
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $147.91 / $229.09	Professional		$69.18	$147.91	$229.09
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $107.15 / $190.55	Professional	26	$52.48	$107.15	$190.55
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $38.90 / $61.66	Professional	TC	$15.85	$38.90	$61.66
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $109.65 / $239.88	Professional		$30.90	$109.65	$239.88
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $83.18 / $239.88	Professional		$57.54	$83.18	$239.88
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $53.70 / $151.36	Professional	26	$40.74	$53.70	$151.36
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.49 / $28.18 / $67.61	Professional	TC	$13.49	$28.18	$67.61
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $85.11 / $234.42	Professional		$70.79	$85.11	$234.42
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $63.10 / $181.97	Professional	26	$50.12	$63.10	$181.97
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $30.20 / $60.26	Professional	TC	$15.85	$30.20	$60.26
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $58.88 / $112.20	Professional		$45.71	$58.88	$112.20
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $43.65 / $83.18	Professional	26	$35.48	$43.65	$83.18
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.47 / $15.14 / $29.51	Professional	TC	$10.47	$15.14	$29.51

Texas rates for HCPCS 88323