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 $93.33 / $288.40 / $602.56	Facility		$93.33	$288.40	$602.56
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $13.80 / $21.88 / $57.54	Facility	26	$13.80	$21.88	$57.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $107.15 / $288.40	Professional		$79.43	$107.15	$288.40
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $23.99 / $64.57	Professional	26	$12.88	$23.99	$64.57
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $83.18 / $208.93	Professional	TC	$64.57	$83.18	$208.93
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $28.18 / $38.90	Professional	26	$28.18	$28.18	$38.90
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $38.02 / $46.77	Professional	26	$25.70	$38.02	$46.77
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $138.04 / $208.93	Professional	TC	$95.50	$138.04	$208.93
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $269.15 / $524.81	Facility		$131.83	$269.15	$524.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $134.90 / $245.47	Professional		$79.43	$134.90	$245.47
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $23.44 / $42.66	Professional	26	$13.18	$23.44	$42.66
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $104.71 / $204.17	Professional	TC	$64.57	$104.71	$204.17
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $29.51 / $29.51	Professional	26	$29.51	$29.51	$29.51
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $125.89 / $199.53	Facility		$89.13	$125.89	$199.53
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $100.00 / $208.93	Professional		$16.60	$100.00	$208.93
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.38 / $93.33 / $251.19	Facility		$21.38	$93.33	$251.19
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $109.65 / $208.93	Professional		$79.43	$109.65	$208.93
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $20.89 / $42.66	Professional	26	$14.79	$20.89	$42.66
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $89.13 / $169.82	Professional	TC	$63.10	$89.13	$169.82
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
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 Professional Modifier Typical Low / Median / Typical High $691.83 / $691.83 / $851.14	Professional		$691.83	$691.83	$851.14
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Professional	26	$151.36	$151.36	$151.36
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $588.84 / $588.84 / $724.44	Professional	TC	$588.84	$588.84	$724.44

North Carolina rates for HCPCS 74455