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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier QX Typical Low / Median / Typical High $2,398.83 / $2,398.83 / $2,398.83	Facility	QX	$2,398.83	$2,398.83	$2,398.83
Aetna Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $741.31 / $1,000.00 / $2,344.23	Professional	AA	$741.31	$1,000.00	$2,344.23
Aetna Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $398.11 / $660.69 / $977.24	Professional	QX	$398.11	$660.69	$977.24
Aetna Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $537.03 / $794.33 / $891.25	Professional	QY	$537.03	$794.33	$891.25
Aetna Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $1,122.02	Professional	QZ	$1,000.00	$1,000.00	$1,122.02
Ambetter Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $263.03 / $263.03 / $1,047.13	Professional	AA	$263.03	$263.03	$1,047.13
Ambetter Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $229.09 / $436.52 / $851.14	Professional	QX	$229.09	$436.52	$851.14
Ambetter Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $1,318.26 / $1,318.26 / $1,318.26	Professional	QZ	$1,318.26	$1,318.26	$1,318.26
United Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $812.83 / $812.83 / $812.83	Professional	QZ	$812.83	$812.83	$812.83
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 01916