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 $575.44 / $2,344.23 / $6,760.83	Facility		$575.44	$2,344.23	$6,760.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $323.59 / $645.65	Professional		$169.82	$323.59	$645.65
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $169.82 / $204.17	Professional		$154.88	$169.82	$204.17
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 $141.25 / $281.84 / $478.63	Professional		$141.25	$281.84	$478.63
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $446.68 / $1,000.00 / $2,570.40	Facility		$446.68	$1,000.00	$2,570.40
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $239.88 / $346.74	Professional		$169.82	$239.88	$346.74
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $831.76 / $831.76	Facility		$158.49	$831.76	$831.76
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $660.69 / $1,412.54	Facility		$467.74	$660.69	$1,412.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $338.84 / $645.65	Professional		$190.55	$338.84	$645.65
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,818.38 / $28,840.32 / $28,840.32	Facility		$2,818.38	$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 $2,691.53 / $3,162.28 / $3,162.28	Professional		$2,691.53	$3,162.28	$3,162.28
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $181.97 / $398.11 / $1,995.26	Facility		$181.97	$398.11	$1,995.26
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $354.81 / $707.95	Professional		$173.78	$354.81	$707.95
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $407.38 / $1,047.13	Professional		$5.01	$407.38	$1,047.13
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $177.83 / $346.74 / $691.83	Facility		$177.83	$346.74	$691.83
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $354.81 / $691.83	Professional		$186.21	$354.81	$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 $162.18 / $281.84 / $512.86	Professional		$162.18	$281.84	$512.86
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $407.38 / $467.74	Professional		$134.90	$407.38	$467.74

Texas rates for HCPCS 43247