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 $38.90 / $275.42 / $446.68	Facility		$38.90	$275.42	$446.68
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $15.85 / $19.05 / $29.51	Facility	26	$15.85	$19.05	$29.51
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $15.85 / $288.40 / $446.68	Facility	TC	$15.85	$288.40	$446.68
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $63.10 / $125.89	Professional		$30.20	$63.10	$125.89
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $69.18 / $70.79 / $70.79	Professional	25	$69.18	$70.79	$70.79
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $23.44 / $52.48	Professional	26	$15.85	$23.44	$52.48
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $81.28 / $234.42 / $338.84	Professional	50	$81.28	$234.42	$338.84
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $30.20 / $43.65 / $87.10	Professional	52	$30.20	$43.65	$87.10
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.02 / $19.50 / $75.86	Professional	TC	$12.02	$19.50	$75.86
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $35.48 / $46.77	Professional		$30.20	$35.48	$46.77
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $19.50 / $28.84	Professional	26	$16.60	$19.50	$28.84
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $53.70 / $53.70 / $53.70	Professional	50	$53.70	$53.70	$53.70
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $11.22 / $11.22 / $11.22	Professional	52	$11.22	$11.22	$11.22
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.59 / $15.14 / $16.60	Professional	TC	$12.59	$15.14	$16.60
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $295.12 / $537.03	Facility		$120.23	$295.12	$537.03
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $30.20 / $50.12	Professional		$16.60	$30.20	$50.12
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $190.55 / $1,737.80	Facility		$38.02	$190.55	$1,737.80
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $42.66 / $81.28	Professional		$35.48	$42.66	$81.28
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $50.12 / $50.12	Facility		$35.48	$50.12	$50.12
Christus Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $15.14 / $15.85 / $16.98	Facility	TC	$15.14	$15.85	$16.98
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $23.44 / $23.44	Professional	26	$19.95	$23.44	$23.44
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $57.54 / $57.54	Facility		$46.77	$57.54	$57.54
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.01 / $22.91 / $33.11	Facility	26	$5.01	$22.91	$33.11
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $3.80 / $17.78 / $25.12	Facility	TC	$3.80	$17.78	$25.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $70.79 / $131.83	Professional		$36.31	$70.79	$131.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $28.18 / $46.77	Professional	26	$19.50	$28.18	$46.77
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $39.81 / $89.13	Professional	TC	$15.85	$39.81	$89.13
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $131.83 / $131.83 / $131.83	Facility	26	$131.83	$131.83	$131.83
Lucent Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $141.25 / $141.25 / $141.25	Facility	TC	$141.25	$141.25	$141.25
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $416.87 / $416.87	Professional		$42.66	$416.87	$416.87
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $131.83 / $162.18 / $162.18	Professional	26	$131.83	$162.18	$162.18
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $295.12 / $295.12	Professional	TC	$295.12	$295.12	$295.12
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $70.79 / $165.96	Facility		$35.48	$70.79	$165.96
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $15.85 / $18.62 / $26.30	Facility	26	$15.85	$18.62	$26.30
Moda Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $17.78 / $288.40 / $407.38	Facility	TC	$17.78	$288.40	$407.38
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $56.23 / $114.82	Professional		$28.84	$56.23	$114.82
Moda Health Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $69.18 / $70.79 / $70.79	Professional	25	$69.18	$70.79	$70.79
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $25.70 / $47.86	Professional	26	$15.85	$25.70	$47.86
Moda Health Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $81.28 / $117.49 / $281.84	Professional	50	$81.28	$117.49	$281.84
Moda Health Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $30.20 / $38.02 / $87.10	Professional	52	$30.20	$38.02	$87.10
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.02 / $23.99 / $67.61	Professional	TC	$12.02	$23.99	$67.61
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $33.11 / $64.57	Professional		$18.20	$33.11	$64.57
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $234.42 / $251.19	Facility		$165.96	$234.42	$251.19
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $38.02 / $144.54	Professional		$18.62	$38.02	$144.54
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $63.10 / $123.03	Facility		$35.48	$63.10	$123.03
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.13 / $23.99 / $33.88	Facility	26	$5.13	$23.99	$33.88
Providence Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $3.89 / $18.20 / $26.30	Facility	TC	$3.89	$18.20	$26.30
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $70.79 / $131.83	Professional		$36.31	$70.79	$131.83
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $28.18 / $43.65	Professional	26	$19.50	$28.18	$43.65
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $37.15 / $87.10	Professional	TC	$15.85	$37.15	$87.10
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.99 / $72.44 / $239.88	Facility		$23.99	$72.44	$239.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $63.10 / $114.82	Professional		$38.02	$63.10	$114.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $23.44 / $40.74	Professional	26	$18.62	$23.44	$40.74
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $38.02 / $72.44	Professional	TC	$20.42	$38.02	$72.44
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $37.15 / $64.57	Professional		$35.48	$37.15	$64.57
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $20.42 / $25.12	Professional	26	$19.95	$20.42	$25.12
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $16.60 / $19.95	Professional	TC	$15.85	$16.60	$19.95

Texas rates for HCPCS 92250