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 $95.50 / $151.36 / $234.42	Professional		$95.50	$151.36	$234.42
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $19.05 / $57.54	Professional	26	$14.13	$19.05	$57.54
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $131.83 / $208.93	Professional	TC	$81.28	$131.83	$208.93
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $25.70 / $25.70	Professional	26	$25.70	$25.70	$25.70
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $89.13 / $263.03	Professional		$12.30	$89.13	$263.03
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $251.19 / $257.04	Professional		$125.89	$251.19	$257.04
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $21.88 / $21.88	Professional	26	$21.38	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $112.20 / $331.13	Professional		$75.86	$112.20	$331.13
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $25.70 / $66.07	Professional	26	$11.22	$25.70	$66.07
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $97.72 / $288.40	Professional	TC	$51.29	$97.72	$288.40
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $239.88 / $239.88 / $239.88	Facility	26	$239.88	$239.88	$239.88
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,348.96 / $1,659.59 / $1,659.59	Professional		$1,348.96	$1,659.59	$1,659.59
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $263.03 / $263.03 / $331.13	Professional	26	$263.03	$263.03	$331.13
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,202.26 / $1,445.44 / $1,445.44	Professional	TC	$1,202.26	$1,445.44	$1,445.44
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $245.47 / $416.87	Professional		$125.89	$245.47	$416.87
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $30.20 / $57.54	Professional	26	$14.13	$30.20	$57.54
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $213.80 / $371.54	Professional	TC	$112.20	$213.80	$371.54
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 $23.44 / $177.83 / $380.19	Professional		$23.44	$177.83	$380.19
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $125.89 / $371.54	Professional		$75.86	$125.89	$371.54
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $25.70 / $66.07	Professional	26	$11.22	$25.70	$66.07
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $93.33 / $281.84	Professional	TC	$54.95	$93.33	$281.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $125.89 / $363.08	Professional		$93.33	$125.89	$363.08
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $25.70 / $60.26	Professional	26	$15.49	$25.70	$60.26
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $102.33 / $316.23	Professional	TC	$66.07	$102.33	$316.23
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $97.72 / $186.21	Professional		$70.79	$97.72	$186.21
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $11.48 / $22.39	Professional	26	$10.23	$11.48	$22.39
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $85.11 / $165.96	Professional	TC	$61.66	$85.11	$165.96

Texas rates for HCPCS 88381