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 $316.23 / $1,905.46 / $11,220.18	Facility		$316.23	$1,905.46	$11,220.18
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,479.11 / $5,128.61 / $7,244.36	Facility	50	$1,479.11	$5,128.61	$7,244.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $398.11 / $891.25	Professional		$316.23	$398.11	$891.25
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $295.12 / $645.65 / $2,238.72	Professional	50	$295.12	$645.65	$2,238.72
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $776.25 / $776.25 / $776.25	Professional	50	$776.25	$776.25	$776.25
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $562.34 / $1,096.48	Professional		$446.68	$562.34	$1,096.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $588.84 / $870.96	Professional		$398.11	$588.84	$870.96
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $457.09 / $851.14	Facility		$316.23	$457.09	$851.14
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $588.84 / $831.76	Professional		$588.84	$588.84	$831.76
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,128.61 / $9,549.93 / $14,791.08	Facility		$5,128.61	$9,549.93	$14,791.08
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $478.63 / $851.14	Professional		$323.59	$478.63	$851.14
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $13,803.84 / $13,803.84 / $42,657.95	Facility		$13,803.84	$13,803.84	$42,657.95
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57

North Carolina rates for HCPCS 31255