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 $35.48 / $154.88 / $588.84	Facility		$35.48	$154.88	$588.84
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $22.91 / $51.29	Professional		$12.88	$22.91	$51.29
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $18.62 / $38.02 / $83.18	Professional	50	$18.62	$38.02	$83.18
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $14.13 / $16.22 / $38.90	Professional	52	$14.13	$16.22	$38.90
Aetna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $4.57 / $7.94 / $8.13	Professional	53	$4.57	$7.94	$8.13
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $18.62 / $27.54	Professional		$12.59	$18.62	$27.54
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $20.42 / $26.30 / $37.15	Professional	50	$20.42	$26.30	$37.15
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $20.89 / $40.74	Professional		$16.60	$20.89	$40.74
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $20.89 / $35.48	Professional		$15.14	$20.89	$35.48
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $16.22 / $25.12	Facility		$13.80	$16.22	$25.12
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $22.91 / $37.15	Professional		$22.91	$22.91	$37.15
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $776.25 / $1,949.84	Facility		$173.78	$776.25	$1,949.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $17.38 / $31.62	Professional		$12.02	$17.38	$31.62
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Professional	50	$79.43	$79.43	$79.43
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $97.72 / $97.72	Facility		$56.23	$97.72	$97.72
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $134.90 / $134.90	Professional		$112.20	$134.90	$134.90

North Carolina rates for HCPCS 69209