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 $630.96 / $2,754.23 / $7,413.10	Facility	$630.96	$2,754.23	$7,413.10
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $208.93 / $331.13	Professional	$131.83	$208.93	$331.13
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $208.93 / $208.93	Professional	$208.93	$208.93	$208.93
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $234.42 / $1,023.29	Facility	$144.54	$234.42	$1,023.29
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $199.53 / $316.23	Professional	$125.89	$199.53	$316.23
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $3,090.30 / $3,090.30	Facility	$120.23	$3,090.30	$3,090.30
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $177.83 / $213.80 / $467.74	Facility	$177.83	$213.80	$467.74
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $234.42 / $426.58	Professional	$144.54	$234.42	$426.58
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $1,995.26	Facility	$54.95	$56.23	$1,995.26
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,548.82 / $1,819.70 / $1,819.70	Professional	$1,548.82	$1,819.70	$1,819.70
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $234.42 / $630.96	Facility	$138.04	$234.42	$630.96
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $213.80 / $380.19	Professional	$131.83	$213.80	$380.19
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 Professional Modifier Typical Low / Median / Typical High $5.01 / $457.09 / $575.44	Professional	$5.01	$457.09	$575.44
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $223.87 / $407.38	Facility	$134.90	$223.87	$407.38
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $239.88 / $446.68	Professional	$144.54	$239.88	$446.68
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $2,187.76 / $4,365.16	Facility	$724.44	$2,187.76	$4,365.16
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $190.55 / $316.23	Professional	$123.03	$190.55	$316.23
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $208.93 / $239.88	Professional	$104.71	$208.93	$239.88

Texas rates for HCPCS 42104