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 $51.29 / $263.03 / $478.63	Facility		$51.29	$263.03	$478.63
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.77 / $13.49 / $33.11	Facility	26	$9.77	$13.49	$33.11
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $25.12 / $120.23 / $630.96	Facility	TC	$25.12	$120.23	$630.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $54.95 / $141.25	Professional		$32.36	$54.95	$141.25
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $16.22 / $40.74	Professional	26	$9.55	$16.22	$40.74
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $37.15 / $83.18	Professional	TC	$23.99	$37.15	$83.18
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $38.02 / $66.07	Professional		$25.70	$38.02	$66.07
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $18.20 / $26.92	Professional	26	$13.18	$18.20	$26.92
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $30.90 / $47.86	Professional	TC	$20.89	$30.90	$47.86
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $24.55 / $31.62	Professional	26	$16.22	$24.55	$31.62
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $48.98 / $79.43	Professional	TC	$38.90	$48.98	$79.43
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $44.67 / $104.71 / $177.83	Facility		$44.67	$104.71	$177.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $56.23 / $100.00	Professional		$34.67	$56.23	$100.00
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $16.22 / $29.51	Professional	26	$9.55	$16.22	$29.51
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $38.02 / $69.18	Professional	TC	$23.44	$38.02	$69.18
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $19.05 / $19.05	Professional	26	$19.05	$19.05	$19.05
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $52.48 / $83.18	Facility		$34.67	$52.48	$83.18
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $275.42 / $602.56	Facility		$257.04	$275.42	$602.56
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $39.81 / $81.28	Professional		$11.22	$39.81	$81.28
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.49 / $45.71 / $81.28	Facility		$15.49	$45.71	$81.28
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $46.77 / $91.20	Professional		$33.88	$46.77	$91.20
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $14.45 / $30.90	Professional	26	$10.23	$14.45	$30.90
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $32.36 / $66.07	Professional	TC	$23.44	$32.36	$66.07
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $257.04 / $363.08	Facility		$257.04	$257.04	$363.08
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Wellcare Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $186.21 / $186.21 / $186.21	Facility	TC	$186.21	$186.21	$186.21
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $257.04 / $331.13	Professional		$257.04	$257.04	$331.13
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $85.11 / $134.90	Professional	26	$85.11	$85.11	$134.90
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $208.93 / $245.47	Professional	TC	$208.93	$208.93	$245.47

North Carolina rates for HCPCS 72100