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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $38.90 / $123.03	Facility	$28.84	$38.90	$123.03
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $30.90 / $66.07	Professional	$23.99	$30.90	$66.07
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $109.65 / $114.82	Facility	$81.28	$109.65	$114.82
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $33.11 / $58.88	Professional	$16.60	$33.11	$58.88
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $27.54 / $79.43 / $165.96	Facility	$27.54	$79.43	$165.96
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $17.38 / $48.98	Professional	$16.98	$17.38	$48.98
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $37.15 / $83.18	Facility	$29.51	$37.15	$83.18
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $131.83	Professional	$131.83	$131.83	$131.83
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $38.90	Professional	$36.31	$36.31	$38.90
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.88 / $43.65 / $44.67	Facility	$21.88	$43.65	$44.67
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $21.88 / $47.86	Professional	$15.49	$21.88	$47.86
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Facility	$173.78	$173.78	$173.78
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $181.97 / $275.42	Professional	$181.97	$181.97	$275.42

North Carolina rates for HCPCS 81242