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 $42.66 / $51.29 / $72.44	Facility	26	$42.66	$51.29	$72.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $380.19 / $676.08	Professional		$302.00	$380.19	$676.08
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $60.26 / $138.04	Professional	26	$51.29	$60.26	$138.04
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $316.23 / $457.09	Professional	TC	$251.19	$316.23	$457.09
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $398.11 / $478.63	Professional		$346.74	$398.11	$478.63
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $56.23 / $75.86	Professional	26	$51.29	$56.23	$75.86
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $338.84 / $338.84 / $338.84	Professional	TC	$338.84	$338.84	$338.84
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $275.42 / $478.63	Professional		$44.67	$275.42	$478.63
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $446.68 / $645.65	Professional		$204.17	$446.68	$645.65
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $77.62 / $77.62	Professional	26	$54.95	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $446.68 / $741.31	Professional		$239.88	$446.68	$741.31
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $74.13 / $117.49	Professional	26	$54.95	$74.13	$117.49
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $380.19 / $630.96	Professional	TC	$194.98	$380.19	$630.96
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Facility	26	$354.81	$354.81	$354.81
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,454.71 / $3,235.94 / $3,235.94	Professional		$2,454.71	$3,235.94	$3,235.94
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $354.81 / $446.68 / $446.68	Professional	26	$354.81	$446.68	$446.68
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2,089.30 / $2,818.38 / $2,818.38	Professional	TC	$2,089.30	$2,818.38	$2,818.38
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $42.66 / $53.70 / $72.44	Facility	26	$42.66	$53.70	$72.44
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $398.11 / $758.58	Professional		$302.00	$398.11	$758.58
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $60.26 / $114.82	Professional	26	$50.12	$60.26	$114.82
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $338.84 / $630.96	Professional	TC	$251.19	$338.84	$630.96
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $44.67 / $316.23	Professional		$32.36	$44.67	$316.23
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $457.09 / $1,380.38	Professional		$100.00	$457.09	$1,380.38
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $457.09 / $794.33	Professional		$275.42	$457.09	$794.33
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $72.44 / $114.82	Professional	26	$53.70	$72.44	$114.82
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $371.54 / $616.60	Professional	TC	$239.88	$371.54	$616.60
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $371.54 / $575.44	Professional		$251.19	$371.54	$575.44
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $61.66 / $97.72	Professional	26	$46.77	$61.66	$97.72
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $309.03 / $489.78	Professional	TC	$204.17	$309.03	$489.78
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $416.87 / $489.78	Professional		$295.12	$416.87	$489.78
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $57.54 / $69.18	Professional	26	$42.66	$57.54	$69.18
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $354.81 / $426.58	Professional	TC	$257.04	$354.81	$426.58

Texas rates for HCPCS 95816