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 $11.75 / $14.13 / $33.88	Facility		$11.75	$14.13	$33.88
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $20.89 / $64.57 / $245.47	Facility	CQ	$20.89	$64.57	$245.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $11.75 / $23.99	Professional		$7.94	$11.75	$23.99
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $58.88 / $69.18 / $69.18	Professional	CO	$58.88	$69.18	$69.18
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $9.33 / $15.85 / $34.67	Professional	CQ	$9.33	$15.85	$34.67
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.13 / $14.45 / $19.95	Facility		$14.13	$14.45	$19.95
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $10.96 / $15.85	Professional		$8.91	$10.96	$15.85
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 $9.33 / $11.75 / $18.62	Professional		$9.33	$11.75	$18.62
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.55 / $13.18 / $23.44	Facility		$9.55	$13.18	$23.44
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 Facility Modifier Typical Low / Median / Typical High $208.93 / $223.87 / $234.42	Facility		$208.93	$223.87	$234.42
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $19.95 / $22.39	Professional		$19.95	$19.95	$22.39
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.13 / $15.14 / $16.22	Facility		$14.13	$15.14	$16.22
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $12.59 / $19.95	Professional		$10.47	$12.59	$19.95
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $100.00 / $100.00	Facility		$89.13	$100.00	$100.00
Wellcare Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $75.86 / $75.86 / $75.86	Facility	CQ	$75.86	$75.86	$75.86
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $117.49 / $117.49	Professional		$89.13	$117.49	$117.49

North Carolina rates for HCPCS 97035