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 $1,071.52 / $3,890.45 / $12,882.50	Facility	$1,071.52	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $912.01 / $1,071.52 / $1,778.28	Professional	$912.01	$1,071.52	$1,778.28
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,265.80 / $7,585.78 / $14,791.08	Facility	$4,265.80	$7,585.78	$14,791.08
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $776.25 / $1,000.00 / $1,412.54	Professional	$776.25	$1,000.00	$1,412.54
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $912.01 / $912.01	Facility	$79.43	$912.01	$912.01
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,698.24 / $1,698.24 / $1,698.24	Facility	$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $954.99 / $1,348.96 / $2,137.96	Professional	$954.99	$1,348.96	$2,137.96
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $16,982.44 / $42,657.95 / $42,657.95	Facility	$16,982.44	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $11,748.98 / $11,748.98 / $11,748.98	Professional	$11,748.98	$11,748.98	$11,748.98
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $954.99 / $1,412.54 / $4,677.35	Facility	$954.99	$1,412.54	$4,677.35
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $1,288.25 / $2,137.96	Professional	$933.25	$1,288.25	$2,137.96
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $128.82 / $851.14	Professional	$32.36	$128.82	$851.14
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,258.93 / $1,258.93 / $1,258.93	Professional	$1,258.93	$1,258.93	$1,258.93
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $954.99 / $1,288.25 / $2,290.87	Facility	$954.99	$1,288.25	$2,290.87
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $954.99 / $1,348.96 / $2,137.96	Professional	$954.99	$1,348.96	$2,137.96
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,238.72 / $6,165.95 / $11,481.54	Facility	$2,238.72	$6,165.95	$11,481.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $812.83 / $1,096.48 / $1,698.24	Professional	$812.83	$1,096.48	$1,698.24
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $891.25 / $912.01 / $954.99	Professional	$891.25	$912.01	$954.99

Texas rates for HCPCS 21242