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 $30.20 / $35.48 / $102.33	Facility	26	$30.20	$35.48	$102.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $114.82 / $323.59	Professional		$91.20	$114.82	$323.59
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $44.67 / $102.33	Professional	26	$28.18	$44.67	$102.33
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $74.13 / $154.88	Professional	TC	$61.66	$74.13	$154.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $52.48 / $83.18	Professional	26	$33.88	$52.48	$83.18
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $77.62 / $97.72	Professional	26	$53.70	$77.62	$97.72
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $158.49 / $208.93	Professional	TC	$112.20	$158.49	$208.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $162.18 / $281.84	Professional		$89.13	$162.18	$281.84
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $51.29 / $89.13	Professional	26	$28.18	$51.29	$89.13
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $109.65 / $190.55	Professional	TC	$61.66	$109.65	$190.55
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $128.82 / $309.03	Professional		$48.98	$128.82	$309.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $134.90 / $275.42	Professional		$95.50	$134.90	$275.42
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $44.67 / $91.20	Professional	26	$32.36	$44.67	$91.20
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $89.13 / $162.18	Professional	TC	$66.07	$89.13	$162.18
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $208.93 / $208.93 / $208.93	Facility	26	$208.93	$208.93	$208.93
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $724.44 / $724.44 / $912.01	Professional		$724.44	$724.44	$912.01
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $208.93 / $208.93 / $269.15	Professional	26	$208.93	$208.93	$269.15
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $524.81 / $524.81 / $630.96	Professional	TC	$524.81	$524.81	$630.96

North Carolina rates for HCPCS 74221