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 $26.92 / $28.18 / $30.20	Facility	$26.92	$28.18	$30.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $28.18 / $38.02	Professional	$21.38	$28.18	$38.02
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $37.15 / $37.15	Professional	$37.15	$37.15	$37.15
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $52.48 / $117.49	Facility	$33.88	$52.48	$117.49
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Professional	$35.48	$35.48	$35.48
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Facility	$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $67.61 / $67.61	Facility	$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $17.78 / $17.78	Professional	$17.78	$17.78	$17.78
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $204.17 / $204.17	Facility	$204.17	$204.17	$204.17
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $316.23 / $436.52	Professional	$316.23	$316.23	$436.52
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $43.65 / $87.10	Facility	$26.92	$43.65	$87.10
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $29.51 / $41.69	Professional	$22.91	$29.51	$41.69
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $66.07 / $162.18	Professional	$57.54	$66.07	$162.18
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $43.65 / $87.10	Facility	$26.92	$43.65	$87.10
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $17.78 / $17.78	Professional	$17.78	$17.78	$17.78
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $19.50 / $29.51	Facility	$13.80	$19.50	$29.51
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $19.50 / $29.51	Professional	$15.14	$19.50	$29.51
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $43.65 / $43.65	Professional	$38.90	$43.65	$43.65

Texas rates for HCPCS Q4042