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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $346.74 / $616.60	Facility		$30.20	$346.74	$616.60
Aetna Facility/Professional Facility Modifier QX Typical Low / Median / Typical High $234.42 / $380.19 / $436.52	Facility	QX	$234.42	$380.19	$436.52
Aetna Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $407.38 / $776.25 / $1,023.29	Professional	AA	$407.38	$776.25	$1,023.29
Aetna Facility/Professional Professional Modifier QK Typical Low / Median / Typical High $229.09 / $363.08 / $588.84	Professional	QK	$229.09	$363.08	$588.84
Aetna Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $229.09 / $354.81 / $645.65	Professional	QX	$229.09	$354.81	$645.65
Aetna Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $223.87 / $354.81 / $512.86	Professional	QY	$223.87	$354.81	$512.86
Aetna Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $309.03 / $512.86 / $707.95	Professional	QZ	$309.03	$512.86	$707.95
Ambetter Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $199.53 / $512.86 / $707.95	Professional	AA	$199.53	$512.86	$707.95
Ambetter Facility/Professional Professional Modifier QK Typical Low / Median / Typical High $79.43 / $302.00 / $707.95	Professional	QK	$79.43	$302.00	$707.95
Ambetter Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $74.13 / $316.23 / $512.86	Professional	QX	$74.13	$316.23	$512.86
Ambetter Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $354.81 / $389.05 / $933.25	Professional	QY	$354.81	$389.05	$933.25
Ambetter Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $100.00 / $229.09 / $870.96	Professional	QZ	$100.00	$229.09	$870.96
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $2,089.30 / $4,677.35	Facility		$33.11	$2,089.30	$4,677.35
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,238.72 / $2,238.72 / $2,691.53	Facility		$2,238.72	$2,238.72	$2,691.53
United Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $81.28 / $85.11 / $89.13	Professional	AA	$81.28	$85.11	$89.13
United Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $54.95 / $75.86 / $234.42	Professional	QZ	$54.95	$75.86	$234.42
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Wellcare Facility/Professional Facility Modifier QK Typical Low / Median / Typical High $52.48 / $52.48 / $52.48	Facility	QK	$52.48	$52.48	$52.48
Wellcare Facility/Professional Facility Modifier QX Typical Low / Median / Typical High $52.48 / $52.48 / $52.48	Facility	QX	$52.48	$52.48	$52.48
Wellcare Facility/Professional Facility Modifier QY Typical Low / Median / Typical High $52.48 / $52.48 / $52.48	Facility	QY	$52.48	$52.48	$52.48

North Carolina rates for HCPCS 00812