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 $537.03 / $2,454.71 / $7,585.78	Facility	$537.03	$2,454.71	$7,585.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $173.78 / $288.40	Professional	$79.43	$173.78	$288.40
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $218.78 / $1,023.29	Facility	$128.82	$218.78	$1,023.29
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $158.49 / $239.88	Professional	$74.13	$158.49	$239.88
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $776.25 / $776.25	Facility	$69.18	$776.25	$776.25
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $173.78 / $537.03	Facility	$141.25	$173.78	$537.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $199.53 / $371.54	Professional	$89.13	$199.53	$371.54
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $794.33	Facility	$54.95	$56.23	$794.33
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,380.38 / $1,621.81 / $1,621.81	Professional	$1,380.38	$1,621.81	$1,621.81
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $199.53 / $870.96	Facility	$81.28	$199.53	$870.96
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $177.83 / $331.13	Professional	$79.43	$177.83	$331.13
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $154.88	Professional	$32.36	$33.11	$154.88
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $354.81 / $524.81	Professional	$5.01	$354.81	$524.81
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $190.55 / $363.08	Facility	$79.43	$190.55	$363.08
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $199.53 / $398.11	Professional	$87.10	$199.53	$398.11
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $1,905.46 / $3,981.07	Facility	$724.44	$1,905.46	$3,981.07
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $151.36 / $281.84	Professional	$74.13	$151.36	$281.84
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $190.55 / $213.80	Professional	$63.10	$190.55	$213.80

Texas rates for HCPCS 43197