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 / $2,951.21 / $6,918.31	Facility	$707.95	$2,951.21	$6,918.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $309.03 / $501.19	Professional	$218.78	$309.03	$501.19
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,348.96 / $2,398.83 / $4,570.88	Facility	$1,348.96	$2,398.83	$4,570.88
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $281.84 / $389.05	Professional	$208.93	$281.84	$389.05
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $338.84 / $416.87	Professional	$338.84	$338.84	$416.87
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $295.12	Facility	$199.53	$199.53	$295.12
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $870.96 / $1,412.54	Facility	$467.74	$870.96	$1,412.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $346.74 / $588.84	Professional	$234.42	$346.74	$588.84
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,715.35 / $28,840.32 / $28,840.32	Facility	$3,715.35	$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 $223.87 / $346.74 / $851.14	Facility	$223.87	$346.74	$851.14
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $309.03 / $549.54	Professional	$223.87	$309.03	$549.54
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $257.04	Professional	$32.36	$33.11	$257.04
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $616.60 / $794.33	Professional	$5.01	$616.60	$794.33
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $223.87 / $338.84 / $602.56	Facility	$223.87	$338.84	$602.56
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $354.81 / $616.60	Professional	$234.42	$354.81	$616.60
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 $199.53 / $288.40 / $457.09	Professional	$199.53	$288.40	$457.09
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $295.12 / $331.13	Professional	$177.83	$295.12	$331.13

Texas rates for HCPCS 42405