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 $537.03 / $1,905.46 / $5,888.44	Facility		$537.03	$1,905.46	$5,888.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $338.84 / $758.58	Professional		$158.49	$338.84	$758.58
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $169.82 / $407.38	Professional		$138.04	$169.82	$407.38
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $1,288.25 / $2,630.27	Facility		$724.44	$1,288.25	$2,630.27
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $316.23 / $512.86	Professional		$151.36	$316.23	$512.86
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 $158.49 / $218.78 / $380.19	Professional		$158.49	$218.78	$380.19
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $446.68 / $446.68	Facility		$147.91	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $724.44 / $1,412.54	Facility		$467.74	$724.44	$1,412.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $323.59 / $660.69	Professional		$177.83	$323.59	$660.69
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 Professional Modifier Typical Low / Median / Typical High $2,884.03 / $3,388.44 / $3,388.44	Professional		$2,884.03	$3,388.44	$3,388.44
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $407.38 / $1,548.82	Facility		$169.82	$407.38	$1,548.82
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $371.54 / $776.25	Professional		$162.18	$371.54	$776.25
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $346.74	Professional		$32.36	$33.11	$346.74
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $426.58 / $1,621.81	Professional		$234.42	$426.58	$1,621.81
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $331.13 / $707.95	Facility		$165.96	$331.13	$707.95
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $346.74 / $724.44	Professional		$177.83	$346.74	$724.44
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 $151.36 / $269.15 / $524.81	Professional		$151.36	$269.15	$524.81
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $436.52 / $501.19	Professional		$125.89	$436.52	$501.19

Texas rates for HCPCS 43248