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 $10.00 / $12.88 / $14.13	Facility	26	$10.00	$12.88	$14.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $39.81 / $83.18	Professional		$33.88	$39.81	$83.18
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $14.13 / $31.62	Professional	26	$12.02	$14.13	$31.62
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $24.55 / $33.88	Professional	TC	$19.95	$24.55	$33.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $41.69 / $61.66	Professional		$34.67	$41.69	$61.66
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $14.13 / $38.02	Professional	26	$10.96	$14.13	$38.02
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $28.18 / $53.70	Professional		$11.48	$28.18	$53.70
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $47.86 / $64.57	Professional		$38.02	$47.86	$64.57
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $47.86 / $47.86	Professional	26	$14.13	$47.86	$47.86
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $22.91 / $22.91 / $22.91	Facility	26	$22.91	$22.91	$22.91
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $47.86 / $77.62	Professional		$37.15	$47.86	$77.62
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $18.62 / $30.20	Professional	26	$13.80	$18.62	$30.20
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $30.20 / $48.98	Professional	TC	$22.39	$30.20	$48.98
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 $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $112.20 / $112.20	Professional	26	$89.13	$112.20	$112.20
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $213.80 / $213.80	Professional	TC	$199.53	$213.80	$213.80
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.00 / $14.13 / $19.95	Facility	26	$10.00	$14.13	$19.95
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $41.69 / $77.62	Professional		$33.88	$41.69	$77.62
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $15.14 / $28.18	Professional	26	$12.02	$15.14	$28.18
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $25.70 / $46.77	Professional	TC	$20.89	$25.70	$46.77
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $32.36 / $33.11	Professional		$11.22	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $43.65 / $93.33	Professional		$15.49	$43.65	$93.33
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $50.12 / $89.13	Professional		$37.15	$50.12	$89.13
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $18.20 / $28.18	Professional	26	$13.80	$18.20	$28.18
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $29.51 / $45.71	Professional	TC	$22.39	$29.51	$45.71
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $41.69 / $64.57	Professional		$31.62	$41.69	$64.57
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $15.85 / $25.12	Professional	26	$12.02	$15.85	$25.12
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $25.70 / $39.81	Professional	TC	$19.50	$25.70	$39.81
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $40.74 / $50.12	Professional		$30.20	$40.74	$50.12
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $14.13 / $17.38	Professional	26	$10.72	$14.13	$17.38
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $26.30 / $33.11	Professional	TC	$19.05	$26.30	$33.11

Texas rates for HCPCS 94375