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 $524.81 / $2,290.87 / $6,918.31	Facility	$524.81	$2,290.87	$6,918.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $147.91 / $234.42	Professional	$107.15	$147.91	$234.42
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $48.98 / $144.54	Professional	$48.98	$48.98	$144.54
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $147.91 / $660.69	Facility	$91.20	$147.91	$660.69
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $131.83 / $190.55	Professional	$100.00	$131.83	$190.55
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $43.65 / $43.65 / $144.54	Facility	$43.65	$43.65	$144.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $131.83 / $354.81	Facility	$112.20	$131.83	$354.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $169.82 / $323.59	Professional	$114.82	$169.82	$323.59
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $3,890.45	Facility	$54.95	$56.23	$3,890.45
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,047.13 / $1,230.27 / $1,230.27	Professional	$1,047.13	$1,230.27	$1,230.27
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $169.82 / $446.68	Facility	$112.20	$169.82	$446.68
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $151.36 / $269.15	Professional	$107.15	$151.36	$269.15
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $123.03	Professional	$32.36	$33.11	$123.03
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $316.23 / $389.05	Professional	$5.01	$316.23	$389.05
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $165.96 / $295.12	Facility	$112.20	$165.96	$295.12
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $177.83 / $338.84	Professional	$112.20	$177.83	$338.84
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $1,995.26 / $3,981.07	Facility	$724.44	$1,995.26	$3,981.07
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $141.25 / $223.87	Professional	$95.50	$141.25	$223.87
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $151.36 / $181.97	Professional	$85.11	$151.36	$181.97

Texas rates for HCPCS 42100