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 $47.86 / $63.10 / $147.91	Facility	26	$47.86	$63.10	$147.91
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $245.47 / $724.44	Professional		$131.83	$245.47	$724.44
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $66.07 / $177.83	Professional	26	$43.65	$66.07	$177.83
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $144.54 / $338.84	Professional	TC	$81.28	$144.54	$338.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $245.47 / $323.59	Professional		$131.83	$245.47	$323.59
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $81.28 / $120.23	Professional	26	$44.67	$81.28	$120.23
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $114.82 / $173.78	Professional	TC	$81.28	$114.82	$173.78
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $131.83 / $154.88	Professional	26	$89.13	$131.83	$154.88
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $354.81 / $478.63	Professional	TC	$223.87	$354.81	$478.63
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $331.13 / $537.03	Professional		$154.88	$331.13	$537.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $81.28 / $138.04	Professional	26	$40.74	$81.28	$138.04
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $104.71 / $223.87 / $398.11	Professional	TC	$104.71	$223.87	$398.11
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $102.33 / $102.33	Professional	26	$102.33	$102.33	$102.33
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $120.23 / $263.03	Professional		$48.98	$120.23	$263.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $251.19 / $446.68	Professional		$134.90	$251.19	$446.68
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $67.61 / $134.90	Professional	26	$47.86	$67.61	$134.90
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $181.97 / $302.00	Professional	TC	$97.72	$181.97	$302.00
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $302.00 / $302.00 / $302.00	Facility	26	$302.00	$302.00	$302.00
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $398.11 / $398.11 / $398.11	Professional	26	$398.11	$398.11	$398.11
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,348.96 / $1,348.96 / $1,348.96	Professional	TC	$1,348.96	$1,348.96	$1,348.96

North Carolina rates for HCPCS 72131