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 $457.09 / $1,737.80 / $6,456.54	Facility		$457.09	$1,737.80	$6,456.54
Aetna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $1,548.82	Facility	22	$1,000.00	$1,000.00	$1,548.82
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $549.54 / $1,479.11 / $1,479.11	Facility	52	$549.54	$1,479.11	$1,479.11
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $457.09 / $1,122.02	Professional		$245.47	$457.09	$1,122.02
Aetna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $104.71 / $123.03 / $194.98	Professional	53	$104.71	$123.03	$194.98
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $281.84 / $457.09	Professional		$194.98	$281.84	$457.09
Ambetter Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $173.78 / $173.78 / $416.87	Professional	53	$173.78	$173.78	$416.87
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $794.33 / $1,258.93	Professional		$380.19	$794.33	$1,258.93
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $489.78 / $741.31 / $1,148.15	Facility		$489.78	$741.31	$1,148.15
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $512.86 / $512.86 / $512.86	Facility	22	$512.86	$512.86	$512.86
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $338.84 / $338.84 / $338.84	Facility	52	$338.84	$338.84	$338.84
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Facility	53	$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $549.54 / $977.24	Professional		$316.23	$549.54	$977.24
Cigna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $275.42 / $275.42 / $331.13	Professional	53	$275.42	$275.42	$331.13
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $489.78 / $870.96	Facility		$257.04	$489.78	$870.96
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $562.34 / $1,122.02	Professional		$562.34	$562.34	$1,122.02
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,584.89 / $1,659.59 / $2,884.03	Facility		$1,584.89	$1,659.59	$2,884.03
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $616.60 / $707.95	Professional		$354.81	$616.60	$707.95
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $2,041.74 / $5,623.41	Facility		$416.87	$2,041.74	$5,623.41
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $436.52 / $794.33	Professional		$251.19	$436.52	$794.33
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,715.35 / $3,715.35 / $28,840.32	Facility		$3,715.35	$3,715.35	$28,840.32
Wellcare Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $2,951.21 / $2,951.21 / $2,951.21	Facility	52	$2,951.21	$2,951.21	$2,951.21
Wellcare Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $741.31 / $741.31 / $741.31	Facility	53	$741.31	$741.31	$741.31
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,548.13 / $3,548.13 / $3,801.89	Professional		$3,548.13	$3,548.13	$3,801.89

North Carolina rates for HCPCS 45385