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 $851.14 / $3,715.35 / $9,120.11	Facility	$851.14	$3,715.35	$9,120.11
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $398.11 / $1,621.81	Professional	$281.84	$398.11	$1,621.81
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $288.40 / $524.81	Professional	$245.47	$288.40	$524.81
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,691.53 / $6,918.31 / $14,125.38	Facility	$2,691.53	$6,918.31	$14,125.38
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $239.88 / $380.19	Professional	$229.09	$239.88	$380.19
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $676.08 / $5,248.07 / $10,232.93	Facility	$676.08	$5,248.07	$10,232.93
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $331.13 / $407.38	Professional	$204.17	$331.13	$407.38
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $4,786.30 / $4,786.30	Facility	$257.04	$4,786.30	$4,786.30
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $3,548.13 / $4,365.16	Facility	$537.03	$3,548.13	$4,365.16
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $389.05 / $616.60	Professional	$281.84	$389.05	$616.60
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $16,982.44 / $45,708.82 / $45,708.82	Facility	$16,982.44	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,511.89 / $2,511.89 / $2,691.53	Professional	$2,511.89	$2,511.89	$2,691.53
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $281.84 / $436.52 / $4,365.16	Facility	$281.84	$436.52	$4,365.16
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $354.81 / $794.33	Professional	$281.84	$354.81	$794.33
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $251.19	Professional	$32.36	$33.11	$251.19
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,370.32 / $5,623.41 / $5,623.41	Facility	$5,370.32	$5,623.41	$5,623.41
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $588.84 / $741.31	Professional	$5.01	$588.84	$741.31
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $275.42 / $380.19 / $660.69	Facility	$275.42	$380.19	$660.69
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $398.11 / $676.08	Professional	$275.42	$398.11	$676.08
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $4,073.80 / $7,413.10	Facility	$1,380.38	$4,073.80	$7,413.10
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $316.23 / $489.78	Professional	$239.88	$316.23	$489.78
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $269.15 / $316.23	Professional	$229.09	$269.15	$316.23

Texas rates for HCPCS 42820