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 $60.26 / $67.61 / $97.72	Facility	26	$60.26	$67.61	$97.72
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $162.18 / $245.47	Professional		$138.04	$162.18	$245.47
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $72.44 / $186.21	Professional	26	$61.66	$72.44	$186.21
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $147.91 / $190.55	Professional		$144.54	$147.91	$190.55
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $77.62 / $83.18	Professional	26	$67.61	$77.62	$83.18
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $120.23 / $213.80	Professional		$61.66	$120.23	$213.80
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $186.21 / $234.42	Professional		$151.36	$186.21	$234.42
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $67.61 / $67.61	Professional	26	$63.10	$67.61	$67.61
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $199.53 / $323.59	Professional		$147.91	$199.53	$323.59
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $87.10 / $141.25	Professional	26	$66.07	$87.10	$141.25
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $426.58 / $426.58 / $426.58	Facility	26	$426.58	$426.58	$426.58
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $977.24 / $1,288.25 / $1,288.25	Professional		$977.24	$1,288.25	$1,288.25
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $426.58 / $537.03 / $537.03	Professional	26	$426.58	$537.03	$537.03
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $51.29 / $75.86 / $97.72	Facility	26	$51.29	$75.86	$97.72
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $169.82 / $295.12	Professional		$141.25	$169.82	$295.12
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $72.44 / $134.90	Professional	26	$61.66	$72.44	$134.90
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $51.29 / $125.89	Professional		$32.36	$51.29	$125.89
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $165.96 / $354.81	Professional		$72.44	$165.96	$354.81
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $199.53 / $363.08	Professional		$147.91	$199.53	$363.08
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $85.11 / $131.83	Professional	26	$66.07	$85.11	$131.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $173.78 / $269.15	Professional		$128.82	$173.78	$269.15
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $75.86 / $114.82	Professional	26	$56.23	$75.86	$114.82
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $158.49 / $199.53	Professional		$120.23	$158.49	$199.53
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $66.07 / $83.18	Professional	26	$51.29	$66.07	$83.18

Texas rates for HCPCS 94621