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 $25.70 / $60.26 / $190.55	Facility	$25.70	$60.26	$190.55
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $32.36 / $60.26	Professional	$21.88	$32.36	$60.26
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $45.71 / $117.49 / $199.53	Facility	$45.71	$117.49	$199.53
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $19.95 / $50.12	Professional	$5.01	$19.95	$50.12
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $30.20 / $51.29	Professional	$25.70	$30.20	$51.29
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $36.31	Facility	$36.31	$36.31	$36.31
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $27.54 / $75.86 / $154.88	Facility	$27.54	$75.86	$154.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $34.67 / $63.10	Professional	$18.62	$34.67	$63.10
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Facility	$173.78	$173.78	$173.78
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $275.42 / $275.42	Professional	$181.97	$275.42	$275.42
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $36.31 / $83.18	Facility	$25.70	$36.31	$83.18
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $33.11 / $54.95	Professional	$19.95	$33.11	$54.95
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $30.90 / $37.15	Professional	$30.90	$30.90	$37.15
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $39.81 / $77.62	Professional	$36.31	$39.81	$77.62
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $40.74 / $109.65	Facility	$25.70	$40.74	$109.65
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $42.66 / $69.18	Professional	$18.62	$42.66	$69.18
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.49 / $36.31 / $43.65	Facility	$15.49	$36.31	$43.65
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $15.49 / $36.31	Professional	$15.49	$15.49	$36.31
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $25.12 / $36.31	Professional	$14.13	$25.12	$36.31

Texas rates for HCPCS 81242