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 $660.69 / $2,511.89 / $6,760.83	Facility		$660.69	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $346.74 / $933.25	Professional		$169.82	$346.74	$933.25
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $158.49 / $229.09	Professional		$75.86	$158.49	$229.09
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,230.27 / $2,344.23 / $4,570.88	Facility		$1,230.27	$2,344.23	$4,570.88
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $446.68 / $724.44	Professional		$158.49	$446.68	$724.44
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $223.87 / $1,348.96 / $2,398.83	Facility		$223.87	$1,348.96	$2,398.83
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $229.09 / $398.11	Professional		$169.82	$229.09	$398.11
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $1,659.59 / $1,659.59	Facility		$158.49	$1,659.59	$1,659.59
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $1,148.15 / $1,412.54	Facility		$467.74	$1,148.15	$1,412.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $354.81 / $977.24	Professional		$186.21	$354.81	$977.24
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $28,840.32 / $28,840.32	Facility		$5,011.87	$28,840.32	$28,840.32
Lucent Health Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $3,981.07 / $3,981.07 / $3,981.07	Facility	52	$3,981.07	$3,981.07	$3,981.07
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $4,168.69 / $4,897.79 / $4,897.79	Professional		$4,168.69	$4,897.79	$4,897.79
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $177.83 / $478.63 / $1,778.28	Facility		$177.83	$478.63	$1,778.28
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $407.38 / $1,071.52	Professional		$169.82	$407.38	$1,071.52
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $501.19	Professional		$32.36	$33.11	$501.19
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $416.87 / $2,290.87	Professional		$251.19	$416.87	$2,290.87
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $354.81 / $1,023.29	Facility		$173.78	$354.81	$1,023.29
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $389.05 / $1,047.13	Professional		$186.21	$389.05	$1,047.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $741.31 / $1,995.26 / $3,981.07	Facility		$741.31	$1,995.26	$3,981.07
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $288.40 / $794.33	Professional		$158.49	$288.40	$794.33
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $630.96 / $707.95	Professional		$134.90	$630.96	$707.95

Texas rates for HCPCS 43245