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 $60.26 / $75.86 / $134.90	Facility	$60.26	$75.86	$134.90
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $107.15 / $165.96	Professional	$64.57	$107.15	$165.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $109.65 / $181.97	Professional	$85.11	$109.65	$181.97
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $213.80 / $489.78	Facility	$54.95	$213.80	$489.78
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $91.20 / $125.89	Professional	$69.18	$91.20	$125.89
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $114.82 / $169.82	Professional	$87.10	$114.82	$169.82
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $107.15 / $107.15	Facility	$107.15	$107.15	$107.15
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $134.90	Facility	$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $131.83 / $208.93	Professional	$89.13	$131.83	$208.93
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $588.84 / $588.84	Facility	$588.84	$588.84	$588.84
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $741.31 / $741.31	Professional	$741.31	$741.31	$741.31
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $131.83 / $213.80	Facility	$83.18	$131.83	$213.80
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $112.20 / $173.78	Professional	$67.61	$112.20	$173.78
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $81.28 / $100.00	Professional	$30.20	$81.28	$100.00
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $138.04 / $741.31	Facility	$138.04	$138.04	$741.31
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $138.04 / $245.47	Professional	$104.71	$138.04	$245.47
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $131.83 / $218.78	Facility	$85.11	$131.83	$218.78
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $131.83 / $229.09	Professional	$87.10	$131.83	$229.09
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $109.65 / $151.36	Facility	$74.13	$109.65	$151.36
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $114.82 / $186.21	Professional	$83.18	$114.82	$186.21
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $114.82 / $123.03	Professional	$87.10	$114.82	$123.03

Texas rates for HCPCS 99243