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 $144.54 / $245.47 / $7,244.36	Facility	$144.54	$245.47	$7,244.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $158.49 / $316.23	Professional	$104.71	$158.49	$316.23
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $194.98 / $223.87 / $251.19	Facility	$194.98	$223.87	$251.19
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $204.17 / $436.52	Professional	$61.66	$204.17	$436.52
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $223.87 / $524.81	Facility	$128.82	$223.87	$524.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $186.21 / $346.74	Professional	$114.82	$186.21	$346.74
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $229.09 / $229.09	Professional	$229.09	$229.09	$229.09
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $104.71 / $162.18 / $269.15	Facility	$104.71	$162.18	$269.15
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $104.71 / $407.38	Professional	$104.71	$104.71	$407.38
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $154.88 / $154.88	Professional	$147.91	$154.88	$154.88
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $549.54 / $1,479.11	Facility	$81.28	$549.54	$1,479.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $147.91 / $263.03	Professional	$95.50	$147.91	$263.03
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,995.26 / $1,995.26 / $28,840.32	Facility	$1,995.26	$1,995.26	$28,840.32
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $1,148.15 / $1,348.96	Professional	$1,148.15	$1,148.15	$1,348.96

North Carolina rates for HCPCS 42000