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 $478.63 / $537.03 / $851.14	Professional	$478.63	$537.03	$851.14
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,905.46 / $4,073.80 / $7,762.47	Facility	$1,905.46	$4,073.80	$7,762.47
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $588.84 / $794.33	Professional	$467.74	$588.84	$794.33
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $436.52 / $436.52 / $457.09	Facility	$436.52	$436.52	$457.09
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $851.14 / $1,698.24 / $1,995.26	Facility	$851.14	$1,698.24	$1,995.26
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $645.65 / $1,071.52	Professional	$436.52	$645.65	$1,071.52
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 $3,715.35 / $4,265.80 / $4,265.80	Professional	$3,715.35	$4,265.80	$4,265.80
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $478.63 / $691.83 / $2,187.76	Facility	$478.63	$691.83	$2,187.76
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $489.78 / $575.44 / $977.24	Professional	$489.78	$575.44	$977.24
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $457.09	Professional	$32.36	$33.11	$457.09
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $1,023.29 / $1,288.25	Professional	$5.01	$1,023.29	$1,288.25
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $645.65 / $1,148.15	Facility	$467.74	$645.65	$1,148.15
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $645.65 / $1,174.90	Professional	$426.58	$645.65	$1,174.90
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $741.31 / $2,187.76 / $4,365.16	Facility	$741.31	$2,187.76	$4,365.16
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $562.34 / $870.96	Professional	$416.87	$562.34	$870.96
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $457.09 / $537.03	Professional	$389.05	$457.09	$537.03

Texas rates for HCPCS 42972