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 $61.66 / $79.43 / $102.33	Facility	26	$61.66	$79.43	$102.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $165.96 / $251.19	Professional		$134.90	$165.96	$251.19
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $83.18 / $128.82	Professional	26	$72.44	$83.18	$128.82
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $83.18 / $123.03	Professional	TC	$58.88	$83.18	$123.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $125.89 / $190.55	Professional		$64.57	$125.89	$190.55
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $151.36 / $165.96	Professional		$144.54	$151.36	$165.96
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $112.20 / $112.20	Professional	26	$79.43	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $208.93 / $338.84	Professional		$138.04	$208.93	$338.84
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $107.15 / $169.82	Professional	26	$77.62	$107.15	$169.82
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $102.33 / $165.96	Professional	TC	$46.77	$102.33	$165.96
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $512.86 / $512.86 / $512.86	Facility	26	$512.86	$512.86	$512.86
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,047.13 / $1,288.25 / $1,288.25	Professional		$1,047.13	$1,288.25	$1,288.25
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $512.86 / $645.65 / $645.65	Professional	26	$512.86	$645.65	$645.65
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $549.54 / $630.96 / $630.96	Professional	TC	$549.54	$630.96	$630.96
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $61.66 / $91.20 / $112.20	Facility	26	$61.66	$91.20	$112.20
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $169.82 / $302.00	Professional		$134.90	$169.82	$302.00
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $83.18 / $144.54	Professional	26	$70.79	$83.18	$144.54
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $83.18 / $144.54	Professional	TC	$64.57	$83.18	$144.54
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $60.26 / $123.03	Professional		$32.36	$60.26	$123.03
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $173.78 / $363.08	Professional		$81.28	$173.78	$363.08
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $208.93 / $354.81	Professional		$138.04	$208.93	$354.81
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $104.71 / $165.96	Professional	26	$77.62	$104.71	$165.96
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $97.72 / $162.18	Professional	TC	$54.95	$97.72	$162.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $173.78 / $275.42	Professional		$123.03	$173.78	$275.42
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $89.13 / $141.25	Professional	26	$67.61	$89.13	$141.25
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $81.28 / $138.04	Professional	TC	$47.86	$81.28	$138.04
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $162.18 / $194.98	Professional		$117.49	$162.18	$194.98
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $83.18 / $97.72	Professional	26	$60.26	$83.18	$97.72
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $81.28 / $95.50	Professional	TC	$57.54	$81.28	$95.50

Texas rates for HCPCS 95861