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 $588.84 / $2,089.30 / $5,248.07	Facility		$588.84	$2,089.30	$5,248.07
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $309.03 / $1,659.59	Professional		$144.54	$309.03	$1,659.59
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $154.88 / $1,122.02	Professional		$69.18	$154.88	$1,122.02
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,230.27 / $2,290.87 / $4,570.88	Facility		$1,230.27	$2,290.87	$4,570.88
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $741.31 / $1,288.25	Professional		$125.89	$741.31	$1,288.25
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $758.58 / $1,819.70	Facility		$323.59	$758.58	$1,819.70
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $199.53 / $524.81	Professional		$109.65	$199.53	$524.81
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $1,513.56 / $1,513.56	Facility		$134.90	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $1,047.13 / $1,412.54	Facility		$467.74	$1,047.13	$1,412.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $316.23 / $1,778.28	Professional		$165.96	$316.23	$1,778.28
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 Facility Modifier 53 Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $1,000.00	Facility	53	$1,000.00	$1,000.00	$1,000.00
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $7,413.10 / $8,709.64 / $8,709.64	Professional		$7,413.10	$8,709.64	$8,709.64
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $575.44 / $2,754.23	Facility		$158.49	$575.44	$2,754.23
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $346.74 / $1,819.70	Professional		$147.91	$346.74	$1,819.70
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $851.14	Professional		$32.36	$33.11	$851.14
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $389.05 / $4,168.69	Professional		$218.78	$389.05	$4,168.69
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $309.03 / $1,819.70	Facility		$154.88	$309.03	$1,819.70
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $346.74 / $1,905.46	Professional		$162.18	$346.74	$1,905.46
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $758.58 / $1,995.26 / $3,981.07	Facility		$758.58	$1,995.26	$3,981.07
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $251.19 / $1,412.54	Professional		$141.25	$251.19	$1,412.54
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $1,122.02 / $1,288.25	Professional		$117.49	$1,122.02	$1,288.25

Texas rates for HCPCS 43249