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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $2,187.76 / $5,888.44	Facility	$575.44	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $380.19 / $891.25	Professional	$186.21	$380.19	$891.25
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $186.21 / $229.09	Professional	$102.33	$186.21	$229.09
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,230.27 / $2,344.23 / $4,677.35	Facility	$1,230.27	$2,344.23	$4,677.35
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $354.81 / $602.56	Professional	$158.49	$354.81	$602.56
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $446.68 / $2,041.74 / $3,715.35	Facility	$446.68	$2,041.74	$3,715.35
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $275.42 / $389.05	Professional	$190.55	$275.42	$389.05
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $1,445.44 / $1,445.44	Facility	$173.78	$1,445.44	$1,445.44
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $1,174.90 / $1,445.44	Facility	$467.74	$1,174.90	$1,445.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $371.54 / $794.33	Professional	$208.93	$371.54	$794.33
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 Professional Modifier Typical Low / Median / Typical High $3,467.37 / $4,073.80 / $4,073.80	Professional	$3,467.37	$4,073.80	$4,073.80
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $489.78 / $1,778.28	Facility	$199.53	$489.78	$1,778.28
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $426.58 / $891.25	Professional	$190.55	$426.58	$891.25
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $416.87	Professional	$32.36	$33.11	$416.87
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $2,951.21 / $2,951.21	Facility	$1,380.38	$2,951.21	$2,951.21
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $446.68 / $1,380.38	Professional	$5.01	$446.68	$1,380.38
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $194.98 / $389.05 / $851.14	Facility	$194.98	$389.05	$851.14
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $407.38 / $891.25	Professional	$208.93	$407.38	$891.25
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $1,995.26 / $3,981.07	Facility	$724.44	$1,995.26	$3,981.07
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $316.23 / $645.65	Professional	$177.83	$316.23	$645.65
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $524.81 / $588.84	Professional	$147.91	$524.81	$588.84

Texas rates for HCPCS 43251