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 $123.03 / $295.12 / $5,248.07	Facility	$123.03	$295.12	$5,248.07
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $199.53 / $426.58	Professional	$123.03	$199.53	$426.58
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $46.77 / $52.48	Facility	$40.74	$46.77	$52.48
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $245.47 / $524.81	Professional	$154.88	$245.47	$524.81
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $213.80 / $338.84 / $758.58	Facility	$213.80	$338.84	$758.58
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $223.87 / $426.58	Professional	$144.54	$223.87	$426.58
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 $125.89 / $204.17 / $331.13	Facility	$125.89	$204.17	$331.13
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $524.81	Professional	$147.91	$147.91	$524.81
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $223.87 / $223.87	Professional	$208.93	$223.87	$223.87
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 / $177.83 / $316.23	Professional	$117.49	$177.83	$316.23
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $1,513.56 / $1,513.56	Facility	$56.23	$1,513.56	$1,513.56
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,479.11 / $1,479.11 / $1,737.80	Professional	$1,479.11	$1,479.11	$1,737.80

North Carolina rates for HCPCS 42809