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 $1,000.00 / $3,715.35 / $12,882.50	Facility	$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,348.96 / $1,548.82 / $2,290.87	Professional	$1,348.96	$1,548.82	$2,290.87
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,288.25 / $1,659.59 / $2,187.76	Professional	$1,288.25	$1,659.59	$2,187.76
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,348.96 / $1,348.96 / $1,479.11	Facility	$1,348.96	$1,348.96	$1,479.11
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $891.25 / $2,511.89	Facility	$537.03	$891.25	$2,511.89
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,122.02 / $1,819.70 / $3,019.95	Professional	$1,122.02	$1,819.70	$3,019.95
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $8,709.64	Facility	$54.95	$56.23	$8,709.64
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10,000.00 / $12,302.69 / $12,302.69	Professional	$10,000.00	$12,302.69	$12,302.69
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,348.96 / $1,819.70 / $3,467.37	Facility	$1,348.96	$1,819.70	$3,467.37
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,348.96 / $1,621.81 / $2,630.27	Professional	$1,348.96	$1,621.81	$2,630.27
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $1,202.26	Professional	$32.36	$33.11	$1,202.26
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $2,754.23 / $3,548.13	Professional	$15.14	$2,754.23	$3,548.13
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $1,819.70 / $3,162.28	Facility	$1,380.38	$1,819.70	$3,162.28
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $776.25 / $1,819.70 / $3,311.31	Professional	$776.25	$1,819.70	$3,311.31
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $446.68 / $2,290.87 / $8,912.51	Facility	$446.68	$2,290.87	$8,912.51
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,202.26 / $1,621.81 / $2,454.71	Professional	$1,202.26	$1,621.81	$2,454.71
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,096.48 / $1,445.44 / $1,659.59	Professional	$1,096.48	$1,445.44	$1,659.59

Texas rates for HCPCS 43425