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 $24.55 / $41.69 / $85.11	Facility		$24.55	$41.69	$85.11
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $51.29 / $70.79 / $134.90	Facility	CQ	$51.29	$70.79	$134.90
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $23.99 / $50.12	Professional		$15.85	$23.99	$50.12
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $19.05 / $32.36 / $70.79	Professional	CQ	$19.05	$32.36	$70.79
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $32.36 / $42.66	Facility		$29.51	$32.36	$42.66
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $22.39 / $35.48	Professional		$19.50	$22.39	$35.48
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 $19.05 / $24.55 / $38.90	Professional		$19.05	$24.55	$38.90
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.95 / $27.54 / $47.86	Facility		$19.95	$27.54	$47.86
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 $234.42 / $245.47 / $398.11	Facility		$234.42	$245.47	$398.11
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $42.66 / $46.77	Professional		$42.66	$42.66	$46.77
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $31.62 / $33.11	Facility		$15.14	$31.62	$33.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $27.54 / $42.66	Professional		$23.44	$27.54	$42.66
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Wellcare Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Facility	CQ	$158.49	$158.49	$158.49
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $239.88 / $239.88	Professional		$186.21	$239.88	$239.88

North Carolina rates for HCPCS 97116