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 $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $61.66 / $61.66 / $61.66	Facility	TC	$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $79.43 / $165.96	Professional		$58.88	$79.43	$165.96
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $131.83 / $630.96	Professional	26	$38.90	$131.83	$630.96
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $30.90 / $67.61	Professional	TC	$23.99	$30.90	$67.61
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $56.23 / $79.43	Professional	26	$28.84	$56.23	$79.43
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $18.62 / $36.31	Professional	TC	$18.62	$18.62	$36.31
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $81.28 / $138.04	Professional		$32.36	$81.28	$138.04
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $134.90 / $169.82	Professional		$97.72	$134.90	$169.82
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $93.33 / $95.50	Facility		$64.57	$93.33	$95.50
Christus Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $36.31 / $37.15 / $37.15	Facility	TC	$36.31	$37.15	$37.15
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $56.23 / $57.54	Professional	26	$56.23	$56.23	$57.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $63.10 / $186.21	Professional		$43.65	$63.10	$186.21
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $40.74 / $128.82	Professional	26	$28.84	$40.74	$128.82
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.79 / $21.88 / $69.18	Professional	TC	$14.79	$21.88	$69.18
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $380.19 / $380.19 / $380.19	Facility	26	$380.19	$380.19	$380.19
Lucent Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $257.04 / $257.04 / $257.04	Facility	TC	$257.04	$257.04	$257.04
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $831.76 / $831.76	Professional		$645.65	$831.76	$831.76
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $380.19 / $478.63 / $478.63	Professional	26	$380.19	$478.63	$478.63
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $363.08 / $363.08	Professional	TC	$363.08	$363.08	$363.08
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $117.49 / $190.55	Facility		$75.86	$117.49	$190.55
Moda Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $61.66 / $61.66 / $61.66	Facility	TC	$61.66	$61.66	$61.66
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $120.23 / $218.78	Professional		$63.10	$120.23	$218.78
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $87.10 / $398.11	Professional	26	$38.02	$87.10	$398.11
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $46.77 / $81.28	Professional	TC	$23.99	$46.77	$81.28
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $100.00 / $204.17	Professional		$40.74	$100.00	$204.17
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $114.82 / $194.98	Facility		$75.86	$114.82	$194.98
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $66.07 / $229.09	Professional		$43.65	$66.07	$229.09
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $40.74 / $128.82	Professional	26	$28.84	$40.74	$128.82
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $22.91 / $69.18	Professional	TC	$15.14	$22.91	$69.18
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $31.62 / $47.86 / $79.43	Facility		$31.62	$47.86	$79.43
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $69.18 / $199.53	Professional		$54.95	$69.18	$199.53
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $46.77 / $131.83	Professional	26	$35.48	$46.77	$131.83
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $24.55 / $70.79	Professional	TC	$19.05	$24.55	$70.79
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $50.12 / $97.72	Professional		$38.90	$50.12	$97.72
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $30.20 / $58.88	Professional	26	$25.70	$30.20	$58.88
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.80 / $20.42 / $38.90	Professional	TC	$13.80	$20.42	$38.90

Texas rates for HCPCS 88331