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 $33.88 / $107.15 / $794.33	Facility	$33.88	$107.15	$794.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $102.33 / $173.78	Professional	$38.90	$102.33	$173.78
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $46.77 / $46.77	Professional	$46.77	$46.77	$46.77
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $117.49 / $218.78	Facility	$52.48	$117.49	$218.78
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $95.50 / $173.78	Professional	$38.02	$95.50	$173.78
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $117.49 / $128.82	Facility	$35.48	$117.49	$128.82
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $66.07 / $263.03	Facility	$41.69	$66.07	$263.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $123.03 / $234.42	Professional	$43.65	$123.03	$234.42
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $467.74 / $467.74	Facility	$467.74	$467.74	$467.74
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,174.90 / $1,174.90	Professional	$1,174.90	$1,174.90	$1,174.90
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $123.03 / $269.15	Facility	$41.69	$123.03	$269.15
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $107.15 / $208.93	Professional	$39.81	$107.15	$208.93
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $109.65	Professional	$32.36	$33.11	$109.65
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $147.91 / $354.81	Professional	$39.81	$147.91	$354.81
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $123.03 / $269.15	Facility	$41.69	$123.03	$269.15
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $117.49 / $245.47	Professional	$43.65	$117.49	$245.47
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $524.81 / $691.83	Facility	$100.00	$524.81	$691.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $95.50 / $199.53	Professional	$38.90	$95.50	$199.53
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $134.90 / $162.18	Professional	$31.62	$134.90	$162.18

Texas rates for HCPCS 96542