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 $870.96 / $3,630.78 / $12,022.64	Facility	$870.96	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $204.17 / $331.13	Professional	$181.97	$204.17	$331.13
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,995.26 / $4,073.80 / $8,912.51	Facility	$1,995.26	$4,073.80	$8,912.51
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $190.55 / $302.00	Professional	$181.97	$190.55	$302.00
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $186.21	Facility	$173.78	$173.78	$186.21
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $1,819.70 / $2,089.30	Facility	$537.03	$1,819.70	$2,089.30
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $257.04 / $446.68	Professional	$186.21	$257.04	$446.68
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,317.64 / $45,708.82 / $45,708.82	Facility	$8,317.64	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,445.44 / $1,659.59 / $1,659.59	Professional	$1,445.44	$1,659.59	$1,659.59
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $263.03 / $2,187.76	Facility	$186.21	$263.03	$2,187.76
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $218.78 / $389.05	Professional	$186.21	$218.78	$389.05
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $165.96	Professional	$32.36	$33.11	$165.96
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $389.05 / $501.19	Professional	$5.01	$389.05	$501.19
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $245.47 / $436.52	Facility	$186.21	$245.47	$436.52
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $263.03 / $478.63	Professional	$186.21	$263.03	$478.63
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $3,311.31 / $6,918.31	Facility	$1,380.38	$3,311.31	$6,918.31
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $208.93 / $323.59	Professional	$154.88	$208.93	$323.59
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $181.97 / $218.78	Professional	$151.36	$181.97	$218.78

Texas rates for HCPCS 42860