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 $295.12 / $2,691.53 / $6,025.60	Facility		$295.12	$2,691.53	$6,025.60
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $245.47 / $660.69	Professional		$112.20	$245.47	$660.69
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $154.88 / $537.03	Professional		$87.10	$154.88	$537.03
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $524.81 / $616.60 / $691.83	Facility		$524.81	$616.60	$691.83
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $398.11 / $794.33	Professional		$190.55	$398.11	$794.33
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $588.84 / $912.01	Facility		$323.59	$588.84	$912.01
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Facility	22	$245.47	$245.47	$245.47
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Facility	52	$165.96	$165.96	$165.96
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Facility	53	$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $309.03 / $588.84	Professional		$151.36	$309.03	$588.84
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $295.12 / $501.19	Facility		$123.03	$295.12	$501.19
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $281.84 / $724.44	Professional		$281.84	$281.84	$724.44
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,187.76 / $2,398.83 / $3,715.35	Facility		$2,187.76	$2,398.83	$3,715.35
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $331.13 / $446.68	Professional		$173.78	$331.13	$446.68
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $398.11 / $2,398.83 / $6,165.95	Facility		$398.11	$2,398.83	$6,165.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $251.19 / $457.09	Professional		$120.23	$251.19	$457.09
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,818.38 / $2,818.38 / $19,498.45	Facility		$2,818.38	$2,818.38	$19,498.45
Wellcare Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $2,238.72 / $2,238.72 / $2,238.72	Facility	52	$2,238.72	$2,238.72	$2,238.72
Wellcare Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $562.34 / $562.34 / $562.34	Facility	53	$562.34	$562.34	$562.34
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,041.74 / $2,041.74 / $2,398.83	Professional		$2,041.74	$2,041.74	$2,398.83

North Carolina rates for HCPCS 43235