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 $50.12 / $213.80 / $616.60	Facility		$50.12	$213.80	$616.60
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.59 / $10.47 / $26.30	Facility	26	$7.59	$10.47	$26.30
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $16.60 / $27.54 / $363.08	Facility	TC	$16.60	$27.54	$363.08
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $39.81 / $104.71	Professional		$22.91	$39.81	$104.71
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $11.75 / $31.62	Professional	26	$7.08	$11.75	$31.62
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $26.30 / $61.66	Professional	TC	$15.14	$26.30	$61.66
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $33.88 / $47.86	Professional		$18.20	$33.88	$47.86
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $13.18 / $21.38	Professional	26	$8.71	$13.18	$21.38
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $24.55 / $33.11	Professional	TC	$19.95	$24.55	$33.11
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $19.95 / $24.55	Professional	26	$13.18	$19.95	$24.55
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $34.67 / $57.54	Professional	TC	$28.84	$34.67	$57.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $70.79 / $120.23	Facility		$30.20	$70.79	$120.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $41.69 / $74.13	Professional		$25.70	$41.69	$74.13
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $12.59 / $22.91	Professional	26	$7.59	$12.59	$22.91
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $27.54 / $51.29	Professional	TC	$16.60	$27.54	$51.29
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $15.49 / $15.49	Professional	26	$15.49	$15.49	$15.49
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $24.55 / $38.90 / $63.10	Facility		$24.55	$38.90	$63.10
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $26.92 / $60.26	Professional		$8.91	$26.92	$60.26
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.02 / $36.31 / $81.28	Facility		$12.02	$36.31	$81.28
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $34.67 / $74.13	Professional		$25.12	$34.67	$74.13
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $11.22 / $25.70	Professional	26	$8.13	$11.22	$25.70
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $23.99 / $50.12	Professional	TC	$16.98	$23.99	$50.12
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $177.83 / $177.83 / $363.08	Facility		$177.83	$177.83	$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 $125.89 / $125.89 / $125.89	Facility	TC	$125.89	$125.89	$125.89
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $177.83 / $234.42	Professional		$177.83	$177.83	$234.42
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Professional	26	$81.28	$81.28	$81.28
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $162.18 / $169.82	Professional	TC	$162.18	$162.18	$169.82

North Carolina rates for HCPCS 72170