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 26 Typical Low / Median / Typical High $22.39 / $32.36 / $60.26	Facility	26	$22.39	$32.36	$60.26
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $141.25 / $269.15	Professional		$107.15	$141.25	$269.15
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $43.65 / $199.53	Professional	26	$25.70	$43.65	$199.53
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $104.71 / $229.09	Professional	TC	$81.28	$104.71	$229.09
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $147.91 / $194.98	Professional		$100.00	$147.91	$194.98
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $39.81 / $54.95	Professional	26	$19.95	$39.81	$54.95
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $61.66 / $61.66	Professional	TC	$61.66	$61.66	$61.66
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $93.33 / $234.42	Professional		$22.39	$93.33	$234.42
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $190.55 / $269.15	Professional		$93.33	$190.55	$269.15
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $39.81 / $39.81	Professional	26	$38.90	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $93.33 / $295.12	Professional		$70.79	$93.33	$295.12
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $29.51 / $89.13	Professional	26	$20.89	$29.51	$89.13
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $70.79 / $223.87	Professional	TC	$50.12	$70.79	$223.87
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $269.15 / $269.15 / $269.15	Facility	26	$269.15	$269.15	$269.15
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $1,445.44 / $1,445.44	Professional		$1,148.15	$1,445.44	$1,445.44
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $331.13 / $331.13 / $346.74	Professional	26	$331.13	$331.13	$346.74
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $870.96 / $1,122.02 / $1,122.02	Professional	TC	$870.96	$1,122.02	$1,122.02
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $23.99 / $33.88 / $60.26	Facility	26	$23.99	$33.88	$60.26
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $199.53 / $354.81	Professional		$109.65	$199.53	$354.81
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $54.95 / $162.18	Professional	26	$25.70	$54.95	$162.18
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $151.36 / $269.15	Professional	TC	$83.18	$151.36	$269.15
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $138.04	Professional		$32.36	$33.11	$138.04
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $158.49 / $346.74	Professional		$42.66	$158.49	$346.74
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $100.00 / $323.59	Professional		$70.79	$100.00	$323.59
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $29.51 / $89.13	Professional	26	$20.42	$29.51	$89.13
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $70.79 / $223.87	Professional	TC	$50.12	$70.79	$223.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $109.65 / $302.00	Professional		$87.10	$109.65	$302.00
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $33.88 / $89.13	Professional	26	$27.54	$33.88	$89.13
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $83.18 / $199.53	Professional	TC	$53.70	$83.18	$199.53
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $123.03 / $169.82	Professional		$72.44	$123.03	$169.82
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $28.84 / $40.74	Professional	26	$17.78	$28.84	$40.74
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $93.33 / $128.82	Professional	TC	$53.70	$93.33	$128.82

Texas rates for HCPCS 88365