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 $436.52 / $2,344.23 / $6,606.93	Facility		$436.52	$2,344.23	$6,606.93
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $436.52 / $436.52 / $549.54	Facility	52	$436.52	$436.52	$549.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $436.52 / $1,148.15	Professional		$190.55	$436.52	$1,148.15
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $162.18 / $257.04 / $1,023.29	Professional	52	$162.18	$257.04	$1,023.29
Aetna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $72.44 / $138.04 / $263.03	Professional	53	$72.44	$138.04	$263.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $257.04 / $776.25	Professional		$169.82	$257.04	$776.25
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $38.02 / $47.86 / $194.98	Professional	52	$38.02	$47.86	$194.98
Ambetter Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $151.36 / $151.36 / $407.38	Professional	53	$151.36	$151.36	$407.38
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $676.08 / $758.58	Facility		$588.84	$676.08	$758.58
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $724.44 / $1,202.26	Professional		$302.00	$724.44	$1,202.26
BCBS Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $776.25 / $776.25 / $776.25	Professional	52	$776.25	$776.25	$776.25
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $489.78 / $691.83 / $1,148.15	Facility		$489.78	$691.83	$1,148.15
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $407.38 / $407.38 / $407.38	Facility	22	$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $269.15 / $269.15 / $269.15	Facility	52	$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $67.61 / $67.61 / $67.61	Facility	53	$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $478.63 / $891.25	Professional		$257.04	$478.63	$891.25
Cigna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $263.03 / $263.03 / $309.03	Professional	53	$263.03	$263.03	$309.03
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $446.68 / $776.25	Facility		$204.17	$446.68	$776.25
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $446.68 / $1,096.48	Professional		$446.68	$446.68	$1,096.48
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,584.89 / $1,659.59 / $2,884.03	Facility		$1,584.89	$1,659.59	$2,884.03
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $501.19 / $676.08	Professional		$281.84	$501.19	$676.08
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $2,041.74 / $5,623.41	Facility		$416.87	$2,041.74	$5,623.41
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $398.11 / $707.95	Professional		$199.53	$398.11	$707.95
United Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $89.13 / $89.13 / $89.13	Professional	53	$89.13	$89.13	$89.13
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,715.35 / $3,715.35 / $28,840.32	Facility		$3,715.35	$3,715.35	$28,840.32
Wellcare Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $2,951.21 / $2,951.21 / $2,951.21	Facility	52	$2,951.21	$2,951.21	$2,951.21
Wellcare Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $741.31 / $741.31 / $741.31	Facility	53	$741.31	$741.31	$741.31
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,162.28 / $3,162.28 / $3,630.78	Professional		$3,162.28	$3,162.28	$3,630.78

North Carolina rates for HCPCS 45380