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 $2.00 / $2.00 / $3.89	Facility	26	$2.00	$2.00	$3.89
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $16.98 / $28.84	Professional		$12.88	$16.98	$28.84
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.00 / $3.02 / $6.61	Professional	26	$2.00	$3.02	$6.61
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.00 / $12.88 / $22.91	Professional	TC	$10.00	$12.88	$22.91
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $13.18 / $15.85	Professional		$13.18	$13.18	$15.85
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.63 / $2.63 / $2.63	Professional	26	$2.63	$2.63	$2.63
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.45 / $11.22 / $20.89	Professional		$2.45	$11.22	$20.89
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $20.42 / $36.31	Professional		$15.14	$20.42	$36.31
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.51 / $2.63 / $2.69	Professional	26	$2.51	$2.63	$2.69
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $4.37 / $4.37 / $4.37	Facility	26	$4.37	$4.37	$4.37
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $26.92 / $43.65	Professional		$15.49	$26.92	$43.65
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.88 / $5.75 / $9.77	Professional	26	$2.88	$5.75	$9.77
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.59 / $21.38 / $34.67	Professional	TC	$12.59	$21.38	$34.67
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $34.67 / $36.31	Professional	26	$34.67	$34.67	$36.31
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $128.82 / $128.82	Professional	TC	$128.82	$128.82	$128.82
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.00 / $3.02 / $4.07	Facility	26	$2.00	$3.02	$4.07
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $19.05 / $30.90	Professional		$12.88	$19.05	$30.90
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.00 / $3.47 / $6.76	Professional	26	$2.00	$3.47	$6.76
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.96 / $15.85 / $25.12	Professional	TC	$10.96	$15.85	$25.12
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.14 / $12.59 / $33.11	Professional		$2.14	$12.59	$33.11
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.39 / $17.38 / $37.15	Professional		$3.39	$17.38	$37.15
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $27.54 / $41.69	Professional		$15.49	$27.54	$41.69
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.88 / $5.75 / $9.55	Professional	26	$2.88	$5.75	$9.55
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.59 / $20.89 / $33.11	Professional	TC	$12.59	$20.89	$33.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $25.12 / $38.90	Professional		$17.38	$25.12	$38.90
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.55 / $5.37 / $8.51	Professional	26	$3.55	$5.37	$8.51
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.49 / $19.95 / $30.20	Professional	TC	$13.49	$19.95	$30.20
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $16.60 / $19.50	Professional		$11.48	$16.60	$19.50
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.04 / $2.82 / $3.24	Professional	26	$2.04	$2.82	$3.24
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $9.33 / $13.80 / $16.22	Professional	TC	$9.33	$13.80	$16.22

Texas rates for HCPCS 94200