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 QK Typical Low / Median / Typical High $1,023.29 / $1,023.29 / $1,023.29	Facility	QK	$1,023.29	$1,023.29	$1,023.29
Aetna Facility/Professional Facility Modifier QX Typical Low / Median / Typical High $1,698.24 / $1,698.24 / $1,698.24	Facility	QX	$1,698.24	$1,698.24	$1,698.24
Aetna Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $204.17 / $426.58 / $1,071.52	Professional	AA	$204.17	$426.58	$1,071.52
Aetna Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $426.58 / $660.69 / $1,000.00	Professional	QX	$426.58	$660.69	$1,000.00
Aetna Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $537.03 / $812.83 / $891.25	Professional	QY	$537.03	$812.83	$891.25
Ambetter Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $104.71 / $104.71 / $123.03	Professional	QX	$104.71	$104.71	$123.03
Ambetter Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $165.96 / $165.96 / $204.17	Professional	QZ	$165.96	$165.96	$204.17
BCBS Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $169.82 / $302.00 / $407.38	Professional	AA	$169.82	$302.00	$407.38
BCBS Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $50.12 / $104.71 / $190.55	Professional	QX	$50.12	$104.71	$190.55
BCBS Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $120.23 / $213.80 / $323.59	Professional	QZ	$120.23	$213.80	$323.59

South Carolina rates for HCPCS 01916