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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $933.25 / $5,248.07	Facility		$85.11	$933.25	$5,248.07
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $245.47 / $537.03	Professional		$85.11	$245.47	$537.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $72.44 / $478.63	Professional		$38.90	$72.44	$478.63
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $524.81 / $616.60 / $691.83	Facility		$524.81	$616.60	$691.83
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $251.19 / $602.56	Professional		$134.90	$251.19	$602.56
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $512.86 / $831.76	Facility		$323.59	$512.86	$831.76
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $117.49 / $117.49 / $117.49	Facility	52	$117.49	$117.49	$117.49
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $29.51 / $29.51 / $29.51	Facility	53	$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $245.47 / $501.19	Professional		$109.65	$245.47	$501.19
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $239.88 / $426.58	Facility		$89.13	$239.88	$426.58
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $194.98 / $616.60	Professional		$194.98	$194.98	$616.60
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $354.81 / $354.81	Professional		$331.13	$354.81	$354.81
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $398.11 / $2,398.83 / $6,165.95	Facility		$398.11	$2,398.83	$6,165.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $190.55 / $371.54	Professional		$87.10	$190.55	$371.54
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,818.38 / $2,818.38 / $19,498.45	Facility		$2,818.38	$2,818.38	$19,498.45
Wellcare Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $2,238.72 / $2,238.72 / $2,238.72	Facility	52	$2,238.72	$2,238.72	$2,238.72
Wellcare Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $562.34 / $562.34 / $562.34	Facility	53	$562.34	$562.34	$562.34
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,862.09 / $1,862.09 / $2,187.76	Professional		$1,862.09	$1,862.09	$2,187.76

North Carolina rates for HCPCS 43200