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 $28.18 / $56.23 / $131.83	Facility	26	$28.18	$56.23	$131.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $87.10 / $295.12	Professional		$66.07	$87.10	$295.12
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $33.88 / $120.23	Professional	26	$26.92	$33.88	$120.23
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $173.78 / $295.12 / $407.38	Professional	50	$173.78	$295.12	$407.38
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $47.86 / $104.71	Professional	TC	$37.15	$47.86	$104.71
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $57.54 / $100.00	Professional	26	$45.71	$57.54	$100.00
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $91.20 / $165.96	Professional	TC	$61.66	$91.20	$165.96
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.76 / $36.31 / $51.29	Facility	26	$7.76	$36.31	$51.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $125.89 / $223.87	Professional		$79.43	$125.89	$223.87
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $48.98 / $89.13	Professional	26	$28.18	$48.98	$89.13
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $75.86 / $138.04	Professional	TC	$48.98	$75.86	$138.04
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $151.36 / $169.82	Professional		$97.72	$151.36	$169.82
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $60.26 / $67.61	Professional	26	$51.29	$60.26	$67.61
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $251.19	Professional		$151.36	$151.36	$251.19
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $194.98 / $389.05	Professional		$112.20	$194.98	$389.05
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $107.15 / $204.17	Professional		$79.43	$107.15	$204.17
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $40.74 / $75.86	Professional	26	$30.90	$40.74	$75.86
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $64.57 / $123.03	Professional	TC	$48.98	$64.57	$123.03
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $602.56 / $616.60	Professional		$602.56	$602.56	$616.60
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $346.74 / $346.74 / $346.74	Professional	26	$346.74	$346.74	$346.74
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $363.08 / $363.08	Professional	TC	$363.08	$363.08	$363.08

North Carolina rates for HCPCS 76513