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 $114.82 / $1,905.46 / $5,370.32	Facility		$114.82	$1,905.46	$5,370.32
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $169.82 / $616.60	Professional		$69.18	$169.82	$616.60
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $70.79 / $524.81	Professional		$60.26	$70.79	$524.81
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $245.47 / $676.08	Professional		$97.72	$245.47	$676.08
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $562.34 / $891.25	Facility		$323.59	$562.34	$891.25
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $97.72 / $97.72 / $97.72	Facility	52	$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $24.55 / $24.55 / $24.55	Facility	53	$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $199.53 / $512.86	Professional		$83.18	$199.53	$512.86
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $181.97 / $426.58	Facility		$70.79	$181.97	$426.58
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $707.95	Professional		$134.90	$134.90	$707.95
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,454.71 / $2,454.71 / $2,691.53	Facility		$2,454.71	$2,454.71	$2,691.53
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $151.36 / $446.68	Professional		$102.33	$151.36	$446.68
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $1,412.54 / $3,467.37	Facility		$257.04	$1,412.54	$3,467.37
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $151.36 / $363.08	Professional		$67.61	$151.36	$363.08
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,884.03 / $2,884.03 / $19,498.45	Facility		$2,884.03	$2,884.03	$19,498.45
Wellcare Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $2,290.87 / $2,290.87 / $2,290.87	Facility	52	$2,290.87	$2,290.87	$2,290.87
Wellcare Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $575.44 / $575.44 / $575.44	Facility	53	$575.44	$575.44	$575.44
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,995.26 / $1,995.26 / $2,344.23	Professional		$1,995.26	$1,995.26	$2,344.23

North Carolina rates for HCPCS 45331