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 $812.83 / $3,548.13 / $12,022.64	Facility	$812.83	$3,548.13	$12,022.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $223.87 / $338.84	Professional	$154.88	$223.87	$338.84
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,168.69 / $7,762.47 / $14,454.40	Facility	$4,168.69	$7,762.47	$14,454.40
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $213.80 / $331.13	Professional	$154.88	$213.80	$331.13
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $234.42	Facility	$147.91	$147.91	$234.42
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $3,801.89 / $4,365.16	Facility	$537.03	$3,801.89	$4,365.16
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $245.47 / $436.52	Professional	$162.18	$245.47	$436.52
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,995.26 / $1,995.26 / $16,982.44	Facility	$1,995.26	$1,995.26	$16,982.44
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,621.81 / $1,862.09 / $1,862.09	Professional	$1,621.81	$1,862.09	$1,862.09
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $251.19 / $645.65	Facility	$165.96	$251.19	$645.65
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $229.09 / $407.38	Professional	$158.49	$229.09	$407.38
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $190.55	Professional	$32.36	$33.11	$190.55
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $436.52 / $602.56	Professional	$5.01	$436.52	$602.56
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $245.47 / $436.52	Facility	$162.18	$245.47	$436.52
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $251.19 / $467.74	Professional	$165.96	$251.19	$467.74
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $2,187.76 / $4,786.30	Facility	$724.44	$2,187.76	$4,786.30
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $204.17 / $323.59	Professional	$141.25	$204.17	$323.59
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $229.09 / $263.03	Professional	$120.23	$229.09	$263.03

Texas rates for HCPCS 42281