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 $26.92 / $38.02 / $58.88	Facility		$26.92	$38.02	$58.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $38.02 / $77.62	Professional		$25.70	$38.02	$77.62
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $30.90 / $57.54 / $128.82	Professional	25	$30.90	$57.54	$128.82
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Professional	52	$35.48	$35.48	$35.48
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $38.02 / $64.57	Professional		$32.36	$38.02	$64.57
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $33.11 / $33.11 / $38.90	Professional	25	$33.11	$33.11	$38.90
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $56.23 / $91.20	Professional		$37.15	$56.23	$91.20
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $37.15 / $43.65	Professional		$37.15	$37.15	$43.65
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $58.88 / $58.88	Professional		$47.86	$58.88	$58.88
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $38.02 / $63.10	Facility		$25.70	$38.02	$63.10
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $33.11 / $102.33	Professional		$33.11	$33.11	$102.33
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $48.98 / $81.28	Professional		$26.30	$48.98	$81.28
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $37.15 / $64.57	Professional		$25.12	$37.15	$64.57
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $245.47 / $323.59	Professional		$245.47	$245.47	$323.59

North Carolina rates for HCPCS G0101