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 $512.86 / $2,238.72 / $6,918.31	Facility	$512.86	$2,238.72	$6,918.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $158.49 / $281.84	Professional	$112.20	$158.49	$281.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $112.20 / $112.20	Professional	$112.20	$112.20	$112.20
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $97.72 / $154.88 / $691.83	Facility	$97.72	$154.88	$691.83
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $144.54 / $204.17	Professional	$109.65	$144.54	$204.17
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $162.18	Professional	$81.28	$81.28	$162.18
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $104.71 / $1,148.15 / $1,148.15	Facility	$104.71	$1,148.15	$1,148.15
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $141.25 / $537.03	Facility	$120.23	$141.25	$537.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $181.97 / $338.84	Professional	$120.23	$181.97	$338.84
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $1,659.59	Facility	$54.95	$56.23	$1,659.59
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $1,318.26 / $1,318.26	Professional	$1,148.15	$1,318.26	$1,318.26
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $181.97 / $489.78	Facility	$114.82	$181.97	$489.78
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $162.18 / $288.40	Professional	$112.20	$162.18	$288.40
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $134.90	Professional	$32.36	$33.11	$134.90
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $338.84 / $416.87	Professional	$5.01	$338.84	$416.87
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $173.78 / $309.03	Facility	$112.20	$173.78	$309.03
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $186.21 / $363.08	Professional	$120.23	$186.21	$363.08
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $1,445.44 / $3,467.37	Facility	$416.87	$1,445.44	$3,467.37
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $147.91 / $234.42	Professional	$100.00	$147.91	$234.42
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $154.88 / $173.78	Professional	$91.20	$154.88	$173.78

Texas rates for HCPCS 42800