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 $707.95 / $2,818.38 / $6,918.31	Facility		$707.95	$2,818.38	$6,918.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $380.19 / $977.24	Professional		$194.98	$380.19	$977.24
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $199.53 / $363.08	Professional		$173.78	$199.53	$363.08
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,258.93 / $2,454.71 / $4,677.35	Facility		$1,258.93	$2,454.71	$4,677.35
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $467.74 / $758.58	Professional		$181.97	$467.74	$758.58
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $281.84 / $389.05	Professional		$194.98	$281.84	$389.05
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $177.83 / $1,412.54 / $1,412.54	Facility		$177.83	$1,412.54	$1,412.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $1,148.15 / $1,445.44	Facility		$467.74	$1,148.15	$1,445.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $436.52 / $1,047.13	Professional		$223.87	$436.52	$1,047.13
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 $4,365.16 / $5,128.61 / $5,128.61	Professional		$4,365.16	$5,128.61	$5,128.61
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $562.34 / $1,659.59	Facility		$204.17	$562.34	$1,659.59
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $446.68 / $1,096.48	Professional		$194.98	$446.68	$1,096.48
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $524.81	Professional		$32.36	$33.11	$524.81
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $575.44 / $1,778.28	Professional		$5.01	$575.44	$1,778.28
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $446.68 / $1,071.52	Facility		$199.53	$446.68	$1,071.52
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $457.09 / $1,148.15	Professional		$218.78	$457.09	$1,148.15
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 $186.21 / $363.08 / $870.96	Professional		$186.21	$363.08	$870.96
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $660.69 / $741.31	Professional		$151.36	$660.69	$741.31

Texas rates for HCPCS 43255