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 $257.04 / $660.69 / $7,585.78	Facility	$257.04	$660.69	$7,585.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $257.04 / $512.86	Professional	$173.78	$257.04	$512.86
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 $234.42 / $380.19 / $691.83	Professional	$234.42	$380.19	$691.83
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $302.00 / $380.19 / $524.81	Facility	$302.00	$380.19	$524.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $302.00 / $537.03	Professional	$199.53	$302.00	$537.03
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Professional	$354.81	$354.81	$354.81
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $269.15 / $436.52	Facility	$173.78	$269.15	$436.52
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $251.19 / $660.69	Professional	$251.19	$251.19	$660.69
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $239.88 / $239.88	Professional	$229.09	$239.88	$239.88
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 $162.18 / $239.88 / $426.58	Professional	$162.18	$239.88	$426.58
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,995.26 / $1,995.26 / $19,498.45	Facility	$1,995.26	$1,995.26	$19,498.45
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,187.76 / $2,398.83 / $2,398.83	Professional	$2,187.76	$2,398.83	$2,398.83

North Carolina rates for HCPCS 42320