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 $1,096.48 / $3,890.45 / $12,882.50	Facility	$1,096.48	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,445.44 / $1,737.80 / $2,884.03	Professional	$1,445.44	$1,737.80	$2,884.03
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $10,471.29 / $25,118.86 / $48,977.88	Facility	$10,471.29	$25,118.86	$48,977.88
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,479.11 / $1,862.09 / $2,511.89	Professional	$1,479.11	$1,862.09	$2,511.89
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $1,412.54 / $1,445.44	Facility	$79.43	$1,412.54	$1,445.44
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,754.23 / $2,754.23 / $2,754.23	Facility	$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,548.82 / $2,187.76 / $3,467.37	Professional	$1,548.82	$2,187.76	$3,467.37
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $42,657.95 / $42,657.95 / $109,647.82	Facility	$42,657.95	$42,657.95	$109,647.82
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $16,982.44 / $16,982.44 / $16,982.44	Professional	$16,982.44	$16,982.44	$16,982.44
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,348.96 / $2,187.76 / $5,011.87	Facility	$1,348.96	$2,187.76	$5,011.87
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,479.11 / $2,041.74 / $3,467.37	Professional	$1,479.11	$2,041.74	$3,467.37
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $208.93 / $1,412.54	Professional	$32.36	$208.93	$1,412.54
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,737.80 / $1,737.80 / $1,737.80	Professional	$1,737.80	$1,737.80	$1,737.80
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,513.56 / $2,089.30 / $3,715.35	Facility	$1,513.56	$2,089.30	$3,715.35
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,513.56 / $2,137.96 / $3,467.37	Professional	$1,513.56	$2,137.96	$3,467.37
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,238.72 / $6,606.93 / $20,892.96	Facility	$2,238.72	$6,606.93	$20,892.96
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,348.96 / $1,778.28 / $2,754.23	Professional	$1,348.96	$1,778.28	$2,754.23
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,412.54 / $1,445.44 / $1,513.56	Professional	$1,412.54	$1,445.44	$1,513.56

Texas rates for HCPCS 21243