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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $2,238.72 / $6,760.83	Facility	$323.59	$2,238.72	$6,760.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $208.93 / $512.86	Professional	$114.82	$208.93	$512.86
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $144.54 / $229.09	Professional	$123.03	$144.54	$229.09
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $446.68 / $776.25 / $1,698.24	Facility	$446.68	$776.25	$1,698.24
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $190.55 / $295.12	Professional	$125.89	$190.55	$295.12
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $263.03 / $741.31 / $1,659.59	Facility	$263.03	$741.31	$1,659.59
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $218.78 / $371.54	Professional	$109.65	$218.78	$371.54
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $588.84 / $588.84	Facility	$134.90	$588.84	$588.84
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $69.18 / $75.86	Facility	$69.18	$69.18	$75.86
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $251.19 / $389.05	Professional	$162.18	$251.19	$389.05
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,290.87 / $28,840.32 / $28,840.32	Facility	$2,290.87	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,659.59 / $1,949.84 / $1,949.84	Professional	$1,659.59	$1,949.84	$1,949.84
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $309.03 / $3,981.07	Facility	$144.54	$309.03	$3,981.07
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $234.42 / $478.63	Professional	$134.90	$234.42	$478.63
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $186.21	Professional	$32.36	$33.11	$186.21
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $338.84 / $338.84 / $5,623.41	Facility	$338.84	$338.84	$5,623.41
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $229.09 / $371.54	Facility	$138.04	$229.09	$371.54
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $257.04 / $389.05	Professional	$165.96	$257.04	$389.05
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $933.25 / $2,290.87	Facility	$173.78	$933.25	$2,290.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $208.93 / $323.59	Professional	$138.04	$208.93	$323.59
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $229.09 / $245.47	Professional	$229.09	$229.09	$245.47

Texas rates for HCPCS 11043