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 $104.71 / $141.25 / $323.59	Facility	26	$104.71	$141.25	$323.59
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $524.81 / $2,187.76	Professional		$346.74	$524.81	$2,187.76
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $186.21 / $478.63	Professional	26	$97.72	$186.21	$478.63
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $371.54 / $1,230.27	Professional	TC	$245.47	$371.54	$1,230.27
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $630.96 / $851.14	Professional		$338.84	$630.96	$851.14
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $162.18 / $208.93	Professional	26	$107.15	$162.18	$208.93
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $323.59 / $489.78	Professional	TC	$323.59	$323.59	$489.78
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $173.78 / $257.04 / $316.23	Professional	26	$173.78	$257.04	$316.23
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $645.65 / $1,071.52 / $1,412.54	Professional	TC	$645.65	$1,071.52	$1,412.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $933.25 / $1,659.59	Professional		$407.38	$933.25	$1,659.59
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $162.18 / $309.03	Professional	26	$91.20	$162.18	$309.03
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $281.84 / $676.08 / $1,380.38	Professional	TC	$281.84	$676.08	$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 $199.53 / $199.53 / $199.53	Professional	26	$199.53	$199.53	$199.53
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $331.13 / $912.01	Professional		$107.15	$331.13	$912.01
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $691.83 / $1,348.96	Professional		$346.74	$691.83	$1,348.96
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $131.83 / $302.00	Professional	26	$95.50	$131.83	$302.00
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $524.81 / $1,096.48	Professional	TC	$257.04	$524.81	$1,096.48
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $660.69 / $660.69 / $660.69	Facility	26	$660.69	$660.69	$660.69
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 72197