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 $28.84 / $47.86 / $97.72	Facility		$28.84	$47.86	$97.72
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $61.66 / $77.62 / $288.40	Facility	CQ	$61.66	$77.62	$288.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $34.67 / $95.50	Professional		$19.95	$34.67	$95.50
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $26.92 / $26.92 / $60.26	Professional	CO	$26.92	$26.92	$60.26
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $25.12 / $48.98 / $91.20	Professional	CQ	$25.12	$48.98	$91.20
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $48.98	Facility		$33.88	$33.88	$48.98
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $25.12 / $41.69	Professional		$21.38	$25.12	$41.69
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 $22.39 / $28.84 / $44.67	Professional		$22.39	$28.84	$44.67
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.91 / $31.62 / $54.95	Facility		$22.91	$31.62	$54.95
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $194.98 / $275.42	Facility		$190.55	$194.98	$275.42
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $48.98 / $53.70	Professional		$48.98	$48.98	$53.70
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $37.15 / $37.15	Facility		$15.14	$37.15	$37.15
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $32.36 / $50.12	Professional		$27.54	$32.36	$50.12
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Wellcare Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $181.97 / $181.97 / $181.97	Facility	CQ	$181.97	$181.97	$181.97
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $269.15 / $269.15	Professional		$218.78	$269.15	$269.15

North Carolina rates for HCPCS 97112