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 $97.72 / $436.52 / $758.58	Facility		$97.72	$436.52	$758.58
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $24.55 / $34.67 / $85.11	Facility	26	$24.55	$34.67	$85.11
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $158.49 / $457.09	Professional		$97.72	$158.49	$457.09
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $45.71 / $112.20	Professional	26	$23.99	$45.71	$112.20
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $43.65 / $107.15 / $239.88	Professional	52	$43.65	$107.15	$239.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $100.00 / $234.42	Professional	TC	$72.44	$100.00	$234.42
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $154.88 / $269.15	Professional		$81.28	$154.88	$269.15
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $42.66 / $67.61	Professional	26	$27.54	$42.66	$67.61
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $112.20 / $173.78	Professional	TC	$64.57	$112.20	$173.78
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $61.66 / $81.28	Professional	26	$37.15	$61.66	$81.28
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $134.90 / $239.88	Professional	TC	$95.50	$134.90	$239.88
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $223.87 / $501.19	Facility		$120.23	$223.87	$501.19
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.61 / $30.90 / $43.65	Facility	26	$6.61	$30.90	$43.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $151.36 / $288.40	Professional		$91.20	$151.36	$288.40
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $39.81 / $70.79	Professional	26	$22.39	$39.81	$70.79
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $112.20 / $213.80	Professional	TC	$63.10	$112.20	$213.80
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $131.83 / $257.04	Professional		$120.23	$131.83	$257.04
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $48.98 / $57.54	Professional	26	$39.81	$48.98	$57.54
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $97.72 / $138.04 / $239.88	Facility		$97.72	$138.04	$239.88
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $120.23 / $295.12	Professional		$120.23	$120.23	$295.12
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $245.47 / $257.04 / $537.03	Facility		$245.47	$257.04	$537.03
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $102.33 / $218.78	Professional		$27.54	$102.33	$218.78
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $81.28 / $151.36	Facility		$37.15	$81.28	$151.36
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $123.03 / $251.19	Professional		$93.33	$123.03	$251.19
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $33.11 / $74.13	Professional	26	$23.99	$33.11	$74.13
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $93.33 / $190.55	Professional	TC	$69.18	$93.33	$190.55
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $169.82 / $169.82 / $169.82	Facility	26	$169.82	$169.82	$169.82
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 $269.15 / $269.15 / $269.15	Professional	26	$269.15	$269.15	$269.15
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $549.54 / $549.54 / $707.95	Professional	TC	$549.54	$549.54	$707.95

North Carolina rates for HCPCS 76536