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 $851.14 / $977.24 / $1,513.56	Professional	$851.14	$977.24	$1,513.56
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 $831.76 / $1,047.13 / $1,412.54	Professional	$831.76	$1,047.13	$1,412.54
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $812.83 / $812.83 / $851.14	Facility	$812.83	$812.83	$851.14
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,513.56 / $3,548.13 / $4,168.69	Facility	$1,513.56	$3,548.13	$4,168.69
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $1,122.02 / $1,905.46	Professional	$676.08	$1,122.02	$1,905.46
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 $9,549.93 / $9,549.93 / $9,549.93	Professional	$9,549.93	$9,549.93	$9,549.93
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $870.96 / $1,230.27 / $3,311.31	Facility	$870.96	$1,230.27	$3,311.31
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $870.96 / $1,047.13 / $1,737.80	Professional	$870.96	$1,047.13	$1,737.80
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $758.58	Professional	$32.36	$33.11	$758.58
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $1,862.09 / $2,398.83	Professional	$6.03	$1,862.09	$2,398.83
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $851.14 / $1,174.90 / $2,089.30	Facility	$851.14	$1,174.90	$2,089.30
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $1,148.15 / $2,089.30	Professional	$630.96	$1,148.15	$2,089.30
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,187.76 / $5,888.44 / $11,481.54	Facility	$2,187.76	$5,888.44	$11,481.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $724.44 / $1,000.00 / $1,548.82	Professional	$724.44	$1,000.00	$1,548.82
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $851.14 / $1,000.00	Professional	$691.83	$851.14	$1,000.00

Texas rates for HCPCS 42226