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 $208.93 / $851.14 / $7,244.36	Facility	$208.93	$851.14	$7,244.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $213.80 / $457.09	Professional	$128.82	$213.80	$457.09
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $208.93	Professional	$190.55	$190.55	$208.93
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $288.40 / $602.56	Professional	$177.83	$288.40	$602.56
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $269.15 / $524.81	Facility	$173.78	$269.15	$524.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $239.88 / $467.74	Professional	$151.36	$239.88	$467.74
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $263.03	Professional	$263.03	$263.03	$263.03
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $218.78 / $363.08	Facility	$131.83	$218.78	$363.08
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $165.96 / $562.34	Professional	$165.96	$165.96	$562.34
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $190.55 / $190.55	Professional	$181.97	$190.55	$190.55
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $398.11 / $2,570.40 / $6,309.57	Facility	$398.11	$2,570.40	$6,309.57
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $194.98 / $346.74	Professional	$125.89	$194.98	$346.74
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $1,995.26 / $1,995.26	Facility	$56.23	$1,995.26	$1,995.26
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,548.82 / $1,548.82 / $1,819.70	Professional	$1,548.82	$1,548.82	$1,819.70

North Carolina rates for HCPCS 42104