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 $575.44 / $2,754.23 / $7,585.78	Facility	$575.44	$2,754.23	$7,585.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $123.03 / $288.40	Professional	$100.00	$123.03	$288.40
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $100.00 / $117.49	Professional	$45.71	$100.00	$117.49
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $125.89 / $549.54	Facility	$85.11	$125.89	$549.54
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $93.33 / $147.91	Professional	$79.43	$93.33	$147.91
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $776.25 / $1,905.46 / $2,511.89	Facility	$776.25	$1,905.46	$2,511.89
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $114.82 / $114.82	Professional	$114.82	$114.82	$114.82
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $1,548.82 / $1,548.82	Facility	$81.28	$1,548.82	$1,548.82
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,148.15 / $1,148.15 / $1,148.15	Facility	$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $154.88 / $251.19	Professional	$104.71	$154.88	$251.19
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $4,786.30	Facility	$54.95	$56.23	$4,786.30
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $707.95 / $812.83 / $812.83	Professional	$707.95	$812.83	$812.83
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $97.72 / $977.24 / $6,165.95	Facility	$97.72	$977.24	$6,165.95
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $128.82 / $234.42	Professional	$107.15	$128.82	$234.42
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $33.11	Professional	$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $281.84 / $281.84	Professional	$281.84	$281.84	$281.84
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $117.49 / $234.42	Facility	$85.11	$117.49	$234.42
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $154.88 / $257.04	Professional	$102.33	$154.88	$257.04
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $1,047.13 / $2,511.89	Facility	$162.18	$1,047.13	$2,511.89
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $131.83 / $204.17	Professional	$91.20	$131.83	$204.17
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $87.10 / $87.10	Professional	$81.28	$87.10	$87.10

Texas rates for HCPCS 42975