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 $10.00 / $15.85 / $77.62	Facility		$10.00	$15.85	$77.62
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $61.66 / $69.18 / $72.44	Facility	CQ	$61.66	$69.18	$72.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $10.96 / $24.55	Professional		$7.08	$10.96	$24.55
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $8.71 / $28.18 / $72.44	Professional	CQ	$8.71	$28.18	$72.44
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.75 / $11.75 / $16.60	Facility		$11.75	$11.75	$16.60
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.13 / $10.47 / $18.62	Professional		$8.13	$10.47	$18.62
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $11.22 / $20.89	Professional		$9.12	$11.22	$20.89
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.51 / $11.75 / $28.18	Facility		$8.51	$11.75	$28.18
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $16.60 / $18.62	Professional		$16.60	$16.60	$18.62
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $15.14 / $21.38	Facility		$13.49	$15.14	$21.38
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $13.18 / $21.88	Professional		$10.23	$13.18	$21.88
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $100.00 / $100.00	Facility		$79.43	$100.00	$100.00
Wellcare Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $63.10 / $63.10 / $63.10	Facility	CQ	$63.10	$63.10	$63.10
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $97.72 / $97.72	Professional		$85.11	$97.72	$97.72

North Carolina rates for HCPCS 97016