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 $27.54 / $89.13 / $776.25	Facility		$27.54	$89.13	$776.25
Aetna Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $56.23 / $69.18 / $467.74	Facility	CO	$56.23	$69.18	$467.74
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $35.48 / $87.10 / $295.12	Facility	CQ	$35.48	$87.10	$295.12
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $26.92 / $79.43	Professional		$19.05	$26.92	$79.43
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $27.54 / $27.54 / $83.18	Professional	CO	$27.54	$27.54	$83.18
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $20.42 / $69.18 / $81.28	Professional	CQ	$20.42	$69.18	$81.28
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $38.90 / $46.77	Facility		$33.11	$38.90	$46.77
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $25.12 / $40.74	Professional		$21.88	$25.12	$40.74
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 $23.44 / $27.54 / $47.86	Professional		$23.44	$27.54	$47.86
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.91 / $31.62 / $56.23	Facility		$22.91	$31.62	$56.23
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $46.77 / $51.29	Professional		$46.77	$46.77	$51.29
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $36.31 / $38.90	Facility		$15.14	$36.31	$38.90
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $33.11 / $48.98	Professional		$27.54	$33.11	$48.98
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Wellcare Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $177.83 / $177.83 / $177.83	Facility	CO	$177.83	$177.83	$177.83
Wellcare Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $177.83 / $177.83 / $177.83	Facility	CQ	$177.83	$177.83	$177.83
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $269.15 / $269.15	Professional		$208.93	$269.15	$269.15

North Carolina rates for HCPCS 97535