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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $457.09 / $2,187.76 / $6,918.31	Facility		$457.09	$2,187.76	$6,918.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $199.53 / $398.11	Professional		$85.11	$199.53	$398.11
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $74.13 / $107.15	Professional		$38.90	$74.13	$107.15
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $1,288.25 / $2,691.53	Facility		$724.44	$1,288.25	$2,691.53
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $199.53 / $323.59	Professional		$79.43	$199.53	$323.59
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $125.89 / $416.87	Professional		$87.10	$125.89	$416.87
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $562.34 / $562.34	Facility		$79.43	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $354.81 / $660.69 / $1,023.29	Facility		$354.81	$660.69	$1,023.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $223.87 / $446.68	Professional		$100.00	$223.87	$446.68
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,818.38 / $19,498.45 / $19,498.45	Facility		$2,818.38	$19,498.45	$19,498.45
Lucent Health Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $2,238.72 / $2,238.72 / $2,238.72	Facility	52	$2,238.72	$2,238.72	$2,238.72
Lucent Health Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $562.34 / $562.34 / $562.34	Facility	53	$562.34	$562.34	$562.34
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,862.09 / $2,187.76 / $2,187.76	Professional		$1,862.09	$2,187.76	$2,187.76
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $263.03 / $707.95	Facility		$93.33	$263.03	$707.95
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $223.87 / $478.63	Professional		$85.11	$223.87	$478.63
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $457.09 / $724.44	Professional		$5.01	$457.09	$724.44
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $245.47 / $467.74	Facility		$91.20	$245.47	$467.74
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $229.09 / $478.63	Professional		$97.72	$229.09	$478.63
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 $83.18 / $181.97 / $338.84	Professional		$83.18	$181.97	$338.84
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $275.42 / $309.03	Professional		$67.61	$275.42	$309.03

Texas rates for HCPCS 43200