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 $8.91 / $12.02 / $54.95	Facility	26	$8.91	$12.02	$54.95
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $40.74 / $54.95	Professional		$34.67	$40.74	$54.95
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $12.02 / $15.85	Professional	26	$10.72	$12.02	$15.85
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $28.18 / $39.81	Professional	TC	$23.99	$28.18	$39.81
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $45.71 / $45.71	Professional		$42.66	$45.71	$45.71
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $33.11 / $61.66	Professional		$10.47	$33.11	$61.66
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $51.29 / $83.18	Professional		$44.67	$51.29	$83.18
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $12.30 / $12.30	Professional	26	$11.22	$12.30	$12.30
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.50 / $19.50 / $19.50	Facility	26	$19.50	$19.50	$19.50
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $52.48 / $85.11	Professional		$39.81	$52.48	$85.11
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $15.85 / $25.70	Professional	26	$12.02	$15.85	$25.70
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $37.15 / $60.26	Professional	TC	$27.54	$37.15	$60.26
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $79.43 / $79.43 / $85.11	Facility	26	$79.43	$79.43	$85.11
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $371.54 / $371.54	Professional		$251.19	$371.54	$371.54
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $97.72 / $97.72	Professional	26	$75.86	$97.72	$97.72
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $275.42 / $275.42	Professional	TC	$186.21	$275.42	$275.42
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.91 / $13.80 / $54.95	Facility	26	$8.91	$13.80	$54.95
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $43.65 / $85.11	Professional		$36.31	$43.65	$85.11
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $12.88 / $22.39	Professional	26	$10.96	$12.88	$22.39
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $28.18 / $45.71	Professional	TC	$23.99	$28.18	$45.71
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.55 / $32.36 / $35.48	Professional		$9.55	$32.36	$35.48
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $47.86 / $104.71	Professional		$13.18	$47.86	$104.71
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $53.70 / $100.00	Professional		$39.81	$53.70	$100.00
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $15.49 / $24.55	Professional	26	$11.75	$15.49	$24.55
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $36.31 / $57.54	Professional	TC	$27.54	$36.31	$57.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $45.71 / $72.44	Professional		$33.88	$45.71	$72.44
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $13.80 / $21.88	Professional	26	$10.47	$13.80	$21.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $31.62 / $51.29	Professional	TC	$23.44	$31.62	$51.29
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $45.71 / $57.54	Professional		$33.88	$45.71	$57.54
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $12.02 / $15.14	Professional	26	$9.12	$12.02	$15.14
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $33.88 / $42.66	Professional	TC	$24.55	$33.88	$42.66

Texas rates for HCPCS 94728