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 $173.78 / $389.05 / $5,495.41	Facility	$173.78	$389.05	$5,495.41
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $173.78 / $446.68	Professional	$112.20	$173.78	$446.68
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $112.20 / $112.20	Professional	$112.20	$112.20	$112.20
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $223.87 / $457.09	Professional	$128.82	$223.87	$457.09
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $181.97 / $512.86	Facility	$102.33	$181.97	$512.86
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $194.98 / $363.08	Professional	$123.03	$194.98	$363.08
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $218.78 / $218.78	Professional	$218.78	$218.78	$218.78
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $169.82 / $275.42	Facility	$112.20	$169.82	$275.42
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $64.57 / $407.38	Professional	$64.57	$64.57	$407.38
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $186.21 / $186.21	Professional	$173.78	$186.21	$186.21
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $251.19 / $1,445.44 / $3,467.37	Facility	$251.19	$1,445.44	$3,467.37
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $151.36 / $269.15	Professional	$104.71	$151.36	$269.15
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $1,659.59 / $1,659.59	Facility	$56.23	$1,659.59	$1,659.59
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $1,148.15 / $1,318.26	Professional	$1,148.15	$1,148.15	$1,318.26

North Carolina rates for HCPCS 42800