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 $190.55 / $1,513.56 / $7,585.78	Facility		$190.55	$1,513.56	$7,585.78
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $331.13 / $331.13 / $331.13	Facility	52	$331.13	$331.13	$331.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $234.42 / $645.65	Professional		$75.86	$234.42	$645.65
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $77.62 / $93.33 / $363.08	Professional	52	$77.62	$93.33	$363.08
Aetna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $21.38 / $109.65 / $691.83	Professional	53	$21.38	$109.65	$691.83
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $288.40 / $354.81	Professional		$112.20	$288.40	$354.81
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $346.74 / $537.03	Professional		$138.04	$346.74	$537.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $245.47 / $457.09	Professional		$117.49	$245.47	$457.09
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $239.88 / $380.19	Facility		$81.28	$239.88	$380.19
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $537.03	Professional		$190.55	$190.55	$537.03
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,862.09 / $1,862.09 / $2,691.53	Facility		$1,862.09	$1,862.09	$2,691.53
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $891.25 / $2,137.96 / $4,265.80	Facility		$891.25	$2,137.96	$4,265.80
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $199.53 / $389.05	Professional		$93.33	$199.53	$389.05
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,995.26 / $2,290.87 / $19,498.45	Facility		$1,995.26	$2,290.87	$19,498.45
Wellcare Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $1,380.38 / $1,380.38 / $1,380.38	Facility	52	$1,380.38	$1,380.38	$1,380.38
Wellcare Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $346.74 / $346.74 / $346.74	Facility	53	$346.74	$346.74	$346.74
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,584.89 / $1,584.89 / $1,862.09	Professional		$1,584.89	$1,584.89	$1,862.09

North Carolina rates for HCPCS 52000