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 $269.15 / $1,698.24 / $5,754.40	Facility		$269.15	$1,698.24	$5,754.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $316.23 / $1,737.80	Professional		$131.83	$316.23	$1,737.80
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $213.80 / $1,819.70	Professional		$117.49	$213.80	$1,819.70
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $446.68 / $2,818.38	Professional		$181.97	$446.68	$2,818.38
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 22 Typical Low / Median / Typical High $309.03 / $309.03 / $309.03	Facility	22	$309.03	$309.03	$309.03
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $204.17 / $204.17 / $204.17	Facility	52	$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Facility	53	$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $323.59 / $2,089.30	Professional		$181.97	$323.59	$2,089.30
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $288.40 / $1,698.24	Facility		$151.36	$288.40	$1,698.24
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $223.87 / $2,818.38	Professional		$223.87	$223.87	$2,818.38
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $229.09 / $1,659.59	Professional		$213.80	$229.09	$1,659.59
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 $144.54 / $257.04 / $1,584.89	Professional		$144.54	$257.04	$1,584.89
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 Facility Modifier 53 Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $1,000.00	Facility	53	$1,000.00	$1,000.00	$1,000.00
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $7,413.10 / $7,413.10 / $8,709.64	Professional		$7,413.10	$7,413.10	$8,709.64

North Carolina rates for HCPCS 43249