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 $346.74 / $831.76 / $8,317.64	Facility	$346.74	$831.76	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $389.05 / $691.83	Professional	$223.87	$389.05	$691.83
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,047.13 / $1,230.27 / $1,380.38	Facility	$1,047.13	$1,230.27	$1,380.38
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $549.54 / $870.96	Professional	$288.40	$549.54	$870.96
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $489.78 / $1,445.44 / $2,570.40	Facility	$489.78	$1,445.44	$2,570.40
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $398.11 / $758.58	Professional	$251.19	$398.11	$758.58
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $457.09 / $457.09	Professional	$457.09	$457.09	$457.09
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $223.87 / $380.19 / $616.60	Facility	$223.87	$380.19	$616.60
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $275.42 / $933.25	Professional	$275.42	$275.42	$933.25
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $302.00 / $302.00	Professional	$281.84	$302.00	$302.00
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $954.99 / $4,897.79 / $10,232.93	Facility	$954.99	$4,897.79	$10,232.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $323.59 / $575.44	Professional	$208.93	$323.59	$575.44
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,317.64 / $8,317.64 / $45,708.82	Facility	$8,317.64	$8,317.64	$45,708.82
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,818.38 / $2,818.38 / $3,311.31	Professional	$2,818.38	$2,818.38	$3,311.31

North Carolina rates for HCPCS 42409