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 $281.84 / $2,511.89 / $6,918.31	Facility		$281.84	$2,511.89	$6,918.31
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $2,511.89 / $2,511.89 / $2,511.89	Facility	52	$2,511.89	$2,511.89	$2,511.89
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $363.08 / $794.33	Professional		$173.78	$363.08	$794.33
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $223.87 / $316.23	Professional		$165.96	$223.87	$316.23
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $371.54 / $977.24	Professional		$245.47	$371.54	$977.24
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $457.09 / $588.84 / $851.14	Facility		$457.09	$588.84	$851.14
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Facility	22	$354.81	$354.81	$354.81
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 Facility Modifier 53 Typical Low / Median / Typical High $58.88 / $58.88 / $58.88	Facility	53	$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $363.08 / $758.58	Professional		$208.93	$363.08	$758.58
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $323.59 / $616.60	Facility		$173.78	$323.59	$616.60
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $251.19 / $954.99	Professional		$251.19	$251.19	$954.99
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $263.03 / $263.03	Professional		$251.19	$263.03	$263.03
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 $165.96 / $281.84 / $575.44	Professional		$165.96	$281.84	$575.44
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,818.38 / $2,818.38 / $28,840.32	Facility		$2,818.38	$2,818.38	$28,840.32
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 $2,691.53 / $2,691.53 / $3,162.28	Professional		$2,691.53	$2,691.53	$3,162.28

North Carolina rates for HCPCS 43247