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 $38.02 / $91.20 / $295.12	Facility	$38.02	$91.20	$295.12
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $52.48 / $100.00	Professional	$33.88	$52.48	$100.00
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $34.67 / $34.67	Professional	$34.67	$34.67	$34.67
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $190.55 / $363.08	Facility	$70.79	$190.55	$363.08
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $32.36 / $77.62	Professional	$5.01	$32.36	$77.62
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $56.23 / $79.43	Professional	$39.81	$56.23	$79.43
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $57.54 / $57.54 / $57.54	Facility	$57.54	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $72.44 / $125.89 / $269.15	Facility	$72.44	$125.89	$269.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $53.70 / $97.72	Professional	$28.84	$53.70	$97.72
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $269.15 / $269.15 / $269.15	Facility	$269.15	$269.15	$269.15
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $426.58 / $426.58	Professional	$288.40	$426.58	$426.58
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $39.81 / $57.54 / $112.20	Facility	$39.81	$57.54	$112.20
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $52.48 / $87.10	Professional	$28.18	$52.48	$87.10
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $47.86 / $57.54	Professional	$47.86	$47.86	$57.54
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $61.66 / $120.23	Professional	$57.54	$61.66	$120.23
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $72.44 / $223.87	Facility	$40.74	$72.44	$223.87
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $60.26 / $107.15	Professional	$28.84	$60.26	$107.15
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.99 / $57.54 / $69.18	Facility	$23.99	$57.54	$69.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $23.99 / $57.54	Professional	$23.99	$23.99	$57.54
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $39.81 / $57.54	Professional	$22.39	$39.81	$57.54

Texas rates for HCPCS 81243