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 $16.98 / $17.38 / $27.54	Facility	26	$16.98	$17.38	$27.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $79.43 / $138.04	Professional		$57.54	$79.43	$138.04
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $19.95 / $39.81	Professional	26	$16.98	$19.95	$39.81
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $72.44 / $134.90	Professional		$67.61	$72.44	$134.90
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $19.95 / $23.44	Professional	26	$19.95	$19.95	$23.44
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $52.48 / $100.00	Professional		$17.38	$52.48	$100.00
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $114.82 / $120.23	Professional		$79.43	$114.82	$120.23
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $19.50 / $19.50	Professional	26	$19.05	$19.50	$19.50
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $4.68 / $21.38 / $30.90	Facility	26	$4.68	$21.38	$30.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $89.13 / $147.91	Professional		$58.88	$89.13	$147.91
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $25.12 / $39.81	Professional	26	$18.62	$25.12	$39.81
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $123.03 / $123.03 / $123.03	Facility	26	$123.03	$123.03	$123.03
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $616.60 / $616.60	Professional		$512.86	$616.60	$616.60
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $154.88 / $154.88	Professional	26	$123.03	$154.88	$154.88
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.13 / $19.05 / $27.54	Facility	26	$14.13	$19.05	$27.54
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $95.50 / $147.91	Professional		$61.66	$95.50	$147.91
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $25.12 / $40.74	Professional	26	$17.78	$25.12	$40.74
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $33.11 / $58.88	Professional		$15.85	$33.11	$58.88
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $4.90 / $22.91 / $33.11	Facility	26	$4.90	$22.91	$33.11
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $89.13 / $147.91	Professional		$60.26	$89.13	$147.91
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $25.12 / $38.02	Professional	26	$18.62	$25.12	$38.02
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $72.44 / $114.82	Professional		$47.86	$72.44	$114.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $20.42 / $32.36	Professional	26	$15.85	$20.42	$32.36
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $79.43 / $79.43	Professional		$77.62	$79.43	$79.43
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $19.50 / $19.95	Professional	26	$19.05	$19.50	$19.95

Texas rates for HCPCS 95874