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 $114.82 / $125.89 / $229.09	Facility	26	$114.82	$125.89	$229.09
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $724.44 / $1,047.13	Professional		$575.44	$724.44	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $138.04 / $346.74	Professional	26	$114.82	$138.04	$346.74
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $199.53 / $257.04 / $1,258.93	Professional	52	$199.53	$257.04	$1,258.93
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $446.68 / $562.34 / $831.76	Professional	TC	$446.68	$562.34	$831.76
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $660.69 / $851.14	Professional		$602.56	$660.69	$851.14
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $125.89 / $144.54	Professional	26	$107.15	$125.89	$144.54
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $169.82 / $169.82 / $169.82	Professional	52	$169.82	$169.82	$169.82
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $549.54 / $575.44	Professional	TC	$363.08	$549.54	$575.44
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $478.63 / $812.83	Professional		$97.72	$478.63	$812.83
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $707.95 / $977.24	Professional		$407.38	$707.95	$977.24
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $125.89 / $125.89	Professional	26	$123.03	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $891.25 / $1,380.38	Professional		$645.65	$891.25	$1,380.38
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $173.78 / $295.12	Professional	26	$123.03	$173.78	$295.12
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $512.86 / $691.83 / $1,096.48	Professional	TC	$512.86	$691.83	$1,096.48
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $776.25 / $776.25 / $776.25	Facility	26	$776.25	$776.25	$776.25
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $6,165.95 / $6,165.95	Professional		$562.34	$6,165.95	$6,165.95
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $1,122.02 / $1,122.02 / $1,122.02	Professional	26	$1,122.02	$1,122.02	$1,122.02
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3,981.07 / $4,570.88 / $4,570.88	Professional	TC	$3,981.07	$4,570.88	$4,570.88
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $123.03 / $229.09	Facility	26	$100.00	$123.03	$229.09
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $758.58 / $1,288.25	Professional		$575.44	$758.58	$1,288.25
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $138.04 / $269.15	Professional	26	$114.82	$138.04	$269.15
Moda Health Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $199.53 / $199.53 / $512.86	Professional	52	$199.53	$199.53	$512.86
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $446.68 / $602.56 / $1,047.13	Professional	TC	$446.68	$602.56	$1,047.13
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $549.54	Professional		$32.36	$33.11	$549.54
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $1,584.89 / $2,570.40	Professional		$457.09	$1,584.89	$2,570.40
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $891.25 / $1,621.81	Professional		$630.96	$891.25	$1,621.81
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $120.23 / $169.82 / $288.40	Professional	26	$120.23	$169.82	$288.40
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $501.19 / $691.83 / $1,096.48	Professional	TC	$501.19	$691.83	$1,096.48
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $741.31 / $1,258.93	Professional		$549.54	$741.31	$1,258.93
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $141.25 / $251.19	Professional	26	$102.33	$141.25	$251.19
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $446.68 / $602.56 / $1,023.29	Professional	TC	$446.68	$602.56	$1,023.29
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $707.95 / $851.14	Professional		$501.19	$707.95	$851.14
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $125.89 / $151.36	Professional	26	$93.33	$125.89	$151.36
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $407.38 / $575.44 / $691.83	Professional	TC	$407.38	$575.44	$691.83

Texas rates for HCPCS 95811