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 $707.95 / $2,818.38 / $6,918.31	Facility	$707.95	$2,818.38	$6,918.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $257.04 / $457.09	Professional	$154.88	$257.04	$457.09
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $281.84 / $281.84	Professional	$281.84	$281.84	$281.84
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,905.46 / $4,073.80 / $7,943.28	Facility	$1,905.46	$4,073.80	$7,943.28
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $257.04 / $416.87	Professional	$151.36	$257.04	$416.87
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $3,467.37 / $3,467.37	Facility	$147.91	$3,467.37	$3,467.37
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $1,819.70 / $2,187.76	Facility	$467.74	$1,819.70	$2,187.76
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $281.84 / $524.81	Professional	$169.82	$281.84	$524.81
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,317.64 / $28,840.32 / $28,840.32	Facility	$8,317.64	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,187.76 / $2,570.40 / $2,570.40	Professional	$2,187.76	$2,570.40	$2,570.40
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $302.00 / $758.58	Facility	$162.18	$302.00	$758.58
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $281.84 / $524.81	Professional	$154.88	$281.84	$524.81
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $263.03	Professional	$32.36	$33.11	$263.03
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $549.54 / $851.14	Professional	$5.01	$549.54	$851.14
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $288.40 / $524.81	Facility	$158.49	$288.40	$524.81
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $295.12 / $549.54	Professional	$169.82	$295.12	$549.54
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 $141.25 / $234.42 / $389.05	Professional	$141.25	$234.42	$389.05
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $288.40 / $331.13	Professional	$125.89	$288.40	$331.13

Texas rates for HCPCS 42140