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 26 Typical Low / Median / Typical High $102.33 / $141.25 / $426.58	Facility	26	$102.33	$141.25	$426.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $524.81 / $1,905.46	Professional		$346.74	$524.81	$1,905.46
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $199.53 / $512.86	Professional	26	$97.72	$199.53	$512.86
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $371.54 / $1,348.96	Professional	TC	$245.47	$371.54	$1,348.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $630.96 / $870.96	Professional		$630.96	$630.96	$870.96
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $134.90 / $257.04	Professional	26	$91.20	$134.90	$257.04
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $489.78 / $489.78 / $489.78	Professional	TC	$489.78	$489.78	$489.78
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $165.96 / $239.88 / $309.03	Professional	26	$165.96	$239.88	$309.03
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $645.65 / $1,047.13 / $1,412.54	Professional	TC	$645.65	$1,047.13	$1,412.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $891.25 / $1,659.59	Professional		$407.38	$891.25	$1,659.59
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $154.88 / $295.12	Professional	26	$89.13	$154.88	$295.12
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $288.40 / $645.65 / $1,380.38	Professional	TC	$288.40	$645.65	$1,380.38
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Professional	26	$190.55	$190.55	$190.55
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $316.23 / $707.95	Professional		$102.33	$316.23	$707.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $676.08 / $1,318.26	Professional		$346.74	$676.08	$1,318.26
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $128.82 / $288.40	Professional	26	$93.33	$128.82	$288.40
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $512.86 / $1,023.29	Professional	TC	$263.03	$512.86	$1,023.29
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $645.65 / $645.65 / $645.65	Facility	26	$645.65	$645.65	$645.65
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $891.25 / $891.25 / $891.25	Professional	26	$891.25	$891.25	$891.25
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5,623.41 / $5,623.41 / $5,623.41	Professional	TC	$5,623.41	$5,623.41	$5,623.41

North Carolina rates for HCPCS 70543