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 $630.96 / $2,570.40 / $6,025.60	Facility		$630.96	$2,570.40	$6,025.60
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $2,041.74 / $2,041.74 / $2,041.74	Facility	52	$2,041.74	$2,041.74	$2,041.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $275.42 / $812.83	Professional		$72.44	$275.42	$812.83
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $123.03 / $302.00	Professional		$64.57	$123.03	$302.00
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $741.31 / $1,258.93 / $2,630.27	Facility		$741.31	$1,258.93	$2,630.27
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $269.15 / $457.09	Professional		$120.23	$269.15	$457.09
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $263.03 / $562.34 / $2,238.72	Facility		$263.03	$562.34	$2,238.72
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $169.82 / $562.34	Professional		$75.86	$169.82	$562.34
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $549.54 / $549.54	Facility		$123.03	$549.54	$549.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $707.95 / $1,412.54	Facility		$467.74	$707.95	$1,412.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $338.84 / $616.60	Professional		$158.49	$338.84	$616.60
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,884.03 / $28,840.32 / $28,840.32	Facility		$2,884.03	$28,840.32	$28,840.32
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 $186.21 / $2,630.27 / $3,090.30	Professional		$186.21	$2,630.27	$3,090.30
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $457.09 / $3,388.44	Facility		$154.88	$457.09	$3,388.44
Moda Health Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $2,041.74 / $2,041.74 / $2,041.74	Facility	52	$2,041.74	$2,041.74	$2,041.74
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $323.59 / $724.44	Professional		$131.83	$323.59	$724.44
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $316.23	Professional		$32.36	$33.11	$316.23
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $436.52 / $977.24	Professional		$131.83	$436.52	$977.24
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $371.54 / $691.83	Facility		$144.54	$371.54	$691.83
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $346.74 / $691.83	Professional		$154.88	$346.74	$691.83
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 $128.82 / $281.84 / $524.81	Professional		$128.82	$281.84	$524.81
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $416.87 / $501.19	Professional		$275.42	$416.87	$501.19

Texas rates for HCPCS 43239