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 / $3,162.28 / $7,943.28	Facility	$851.14	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $707.95 / $812.83 / $1,230.27	Professional	$707.95	$812.83	$1,230.27
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,230.27 / $2,238.72 / $4,168.69	Facility	$1,230.27	$2,238.72	$4,168.69
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $870.96 / $1,202.26	Professional	$691.83	$870.96	$1,202.26
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $676.08 / $676.08 / $707.95	Facility	$676.08	$676.08	$707.95
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $707.95 / $870.96 / $1,412.54	Facility	$707.95	$870.96	$1,412.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $933.25 / $1,584.89	Professional	$549.54	$933.25	$1,584.89
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,786.30 / $28,840.32 / $28,840.32	Facility	$4,786.30	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5,495.41 / $6,309.57 / $6,309.57	Professional	$5,495.41	$6,309.57	$6,309.57
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $676.08 / $977.24 / $2,454.71	Facility	$676.08	$977.24	$2,454.71
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $707.95 / $870.96 / $1,445.44	Professional	$707.95	$870.96	$1,445.44
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $724.44	Professional	$32.36	$33.11	$724.44
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $1,548.82 / $1,995.26	Professional	$5.01	$1,548.82	$1,995.26
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $660.69 / $912.01 / $1,698.24	Facility	$660.69	$912.01	$1,698.24
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $954.99 / $1,737.80	Professional	$524.81	$954.99	$1,737.80
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $758.58 / $1,995.26 / $3,981.07	Facility	$758.58	$1,995.26	$3,981.07
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $831.76 / $1,288.25	Professional	$616.60	$831.76	$1,288.25
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $707.95 / $831.76	Professional	$562.34	$707.95	$831.76

Texas rates for HCPCS 42955