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 $23.44 / $257.04 / $5,248.07	Facility		$23.44	$257.04	$5,248.07
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.02 / $64.57 / $151.36	Facility	26	$38.02	$64.57	$151.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $269.15 / $676.08	Professional		$154.88	$269.15	$676.08
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $56.23 / $173.78	Professional	26	$38.02	$56.23	$173.78
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $162.18 / $331.13	Professional	TC	$109.65	$162.18	$331.13
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $218.78 / $371.54	Professional		$83.18	$218.78	$371.54
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $56.23 / $69.18	Professional	26	$56.23	$56.23	$69.18
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Professional	TC	$165.96	$165.96	$165.96
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $104.71 / $125.89	Professional	26	$50.12	$104.71	$125.89
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $245.47 / $346.74	Professional	TC	$134.90	$245.47	$346.74
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $288.40 / $426.58	Professional		$190.55	$288.40	$426.58
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $75.86 / $123.03	Professional	26	$47.86	$75.86	$123.03
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $208.93 / $316.23	Professional	TC	$123.03	$208.93	$316.23
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $229.09 / $426.58	Facility		$162.18	$229.09	$426.58
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $95.50 / $416.87	Professional		$95.50	$95.50	$416.87
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $831.76 / $1,995.26	Facility		$363.08	$831.76	$1,995.26
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $213.80 / $371.54	Professional		$125.89	$213.80	$371.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $60.26 / $109.65	Professional	26	$39.81	$60.26	$109.65
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $154.88 / $257.04	Professional	TC	$85.11	$154.88	$257.04
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $2,951.21 / $2,951.21	Facility		$56.23	$2,951.21	$2,951.21
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Facility	26	$245.47	$245.47	$245.47
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $691.83 / $912.01 / $912.01	Professional	26	$691.83	$912.01	$912.01
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,148.15 / $1,148.15 / $1,148.15	Professional	TC	$1,148.15	$1,148.15	$1,148.15

North Carolina rates for HCPCS 51797