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 $257.04 / $1,202.26 / $6,165.95	Facility		$257.04	$1,202.26	$6,165.95
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $371.54 / $1,122.02	Professional		$169.82	$371.54	$1,122.02
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $154.88 / $1,047.13	Professional		$75.86	$154.88	$1,047.13
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $794.33 / $912.01 / $1,023.29	Facility		$794.33	$912.01	$1,023.29
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $389.05 / $1,513.56	Professional		$194.98	$389.05	$1,513.56
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $489.78 / $891.25 / $1,584.89	Facility		$489.78	$891.25	$1,584.89
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $239.88 / $239.88 / $239.88	Facility	52	$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $380.19 / $1,148.15	Professional		$204.17	$380.19	$1,148.15
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $331.13 / $933.25	Facility		$169.82	$331.13	$933.25
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $251.19 / $1,513.56	Professional		$251.19	$251.19	$1,513.56
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $263.03 / $912.01	Professional		$245.47	$263.03	$912.01
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $2,398.83 / $5,623.41	Facility		$416.87	$2,398.83	$5,623.41
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $295.12 / $870.96	Professional		$165.96	$295.12	$870.96
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $5,011.87 / $28,840.32	Facility		$5,011.87	$5,011.87	$28,840.32
Wellcare Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $3,981.07 / $3,981.07 / $3,981.07	Facility	52	$3,981.07	$3,981.07	$3,981.07
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $4,168.69 / $4,168.69 / $4,897.79	Professional		$4,168.69	$4,168.69	$4,897.79

North Carolina rates for HCPCS 43245