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 $169.82 / $467.74 / $7,585.78	Facility	$169.82	$467.74	$7,585.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $173.78 / $371.54	Professional	$128.82	$173.78	$371.54
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $316.23 / $316.23	Professional	$316.23	$316.23	$316.23
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $275.42 / $467.74	Professional	$162.18	$275.42	$467.74
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $281.84 / $380.19 / $524.81	Facility	$281.84	$380.19	$524.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $208.93 / $389.05	Professional	$141.25	$208.93	$389.05
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $239.88 / $239.88	Professional	$239.88	$239.88	$239.88
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $186.21 / $302.00	Facility	$131.83	$186.21	$302.00
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $446.68	Professional	$85.11	$85.11	$446.68
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $169.82 / $169.82	Professional	$162.18	$169.82	$169.82
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 $117.49 / $165.96 / $295.12	Professional	$117.49	$165.96	$295.12
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,570.40 / $2,570.40 / $19,498.45	Facility	$2,570.40	$2,570.40	$19,498.45
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,230.27 / $1,230.27 / $1,445.44	Professional	$1,230.27	$1,230.27	$1,445.44

North Carolina rates for HCPCS 42310