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 $165.96 / $173.78 / $331.13	Facility		$165.96	$173.78	$331.13
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $120.23 / $120.23 / $120.23	Facility	TC	$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $89.13 / $302.00	Professional		$61.66	$89.13	$302.00
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $44.67 / $257.04	Professional	26	$21.38	$44.67	$257.04
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $57.54 / $154.88	Professional	TC	$39.81	$57.54	$154.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $64.57 / $141.25	Professional		$35.48	$64.57	$141.25
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $32.36 / $44.67	Professional	26	$16.22	$32.36	$44.67
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $42.66 / $50.12	Professional	TC	$37.15	$42.66	$50.12
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $61.66 / $151.36	Professional		$18.20	$61.66	$151.36
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $128.82 / $173.78	Professional		$97.72	$128.82	$173.78
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $107.15 / $141.25	Facility		$102.33	$107.15	$141.25
Christus Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $70.79 / $72.44 / $74.13	Facility	TC	$70.79	$72.44	$74.13
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $32.36 / $32.36	Professional	26	$31.62	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $66.07 / $190.55	Professional		$45.71	$66.07	$190.55
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $23.99 / $79.43	Professional	26	$16.98	$23.99	$79.43
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $38.02 / $134.90	Professional	TC	$28.84	$38.02	$134.90
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 $213.80 / $213.80 / $213.80	Facility	26	$213.80	$213.80	$213.80
Lucent Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $426.58 / $426.58 / $426.58	Facility	TC	$426.58	$426.58	$426.58
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $660.69 / $933.25	Professional		$134.90	$660.69	$933.25
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $269.15 / $269.15 / $275.42	Professional	26	$269.15	$269.15	$275.42
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $426.58 / $676.08 / $676.08	Professional	TC	$426.58	$676.08	$676.08
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $114.82 / $186.21	Facility		$77.62	$114.82	$186.21
Moda Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $120.23 / $120.23 / $120.23	Facility	TC	$120.23	$120.23	$120.23
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $114.82 / $245.47	Professional		$61.66	$114.82	$245.47
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $45.71 / $257.04	Professional	26	$21.38	$45.71	$257.04
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $83.18 / $147.91	Professional	TC	$40.74	$83.18	$147.91
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $33.11 / $89.13	Professional		$28.18	$33.11	$89.13
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $109.65 / $223.87	Professional		$34.67	$109.65	$223.87
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $114.82 / $186.21	Facility		$77.62	$114.82	$186.21
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $70.79 / $218.78	Professional		$44.67	$70.79	$218.78
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $23.44 / $79.43	Professional	26	$16.60	$23.44	$79.43
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $41.69 / $138.04	Professional	TC	$28.84	$41.69	$138.04
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $52.48 / $87.10	Facility		$34.67	$52.48	$87.10
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $77.62 / $213.80	Professional		$63.10	$77.62	$213.80
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $28.84 / $81.28	Professional	26	$21.88	$28.84	$81.28
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $48.98 / $138.04	Professional	TC	$38.90	$48.98	$138.04
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $57.54 / $109.65	Professional		$41.69	$57.54	$109.65
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $16.98 / $33.11	Professional	26	$14.45	$16.98	$33.11
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $39.81 / $77.62	Professional	TC	$27.54	$39.81	$77.62

Texas rates for HCPCS 88342