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 $25.12 / $30.20 / $85.11	Facility	26	$25.12	$30.20	$85.11
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $93.33 / $354.81	Professional		$51.29	$93.33	$354.81
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $42.66 / $109.65	Professional	26	$23.99	$42.66	$109.65
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $46.77 / $91.20 / $354.81	Professional	52	$46.77	$91.20	$354.81
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $53.70 / $131.83	Professional	TC	$25.70	$53.70	$131.83
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $39.81 / $69.18	Professional	26	$17.38	$39.81	$69.18
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $15.49 / $15.49 / $15.49	Professional	52	$15.49	$15.49	$15.49
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $77.62 / $77.62	Professional	TC	$77.62	$77.62	$77.62
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $60.26 / $77.62	Professional	26	$37.15	$60.26	$77.62
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $100.00 / $165.96	Professional	TC	$61.66	$100.00	$165.96
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.61 / $30.90 / $44.67	Facility	26	$6.61	$30.90	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $107.15 / $194.98	Professional		$69.18	$107.15	$194.98
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $39.81 / $72.44	Professional	26	$22.39	$39.81	$72.44
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $66.07 / $125.89	Professional	TC	$38.90	$66.07	$125.89
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $125.89 / $141.25	Professional		$112.20	$125.89	$141.25
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $47.86 / $58.88	Professional	26	$38.90	$47.86	$58.88
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $158.49 / $199.53	Professional		$158.49	$158.49	$199.53
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $56.23 / $134.90	Professional		$28.84	$56.23	$134.90
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $91.20 / $173.78	Professional		$67.61	$91.20	$173.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $33.11 / $74.13	Professional	26	$24.55	$33.11	$74.13
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $58.88 / $112.20	Professional	TC	$40.74	$58.88	$112.20
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Facility	26	$173.78	$173.78	$173.78
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $467.74 / $478.63	Professional		$467.74	$467.74	$478.63
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $275.42 / $275.42 / $275.42	Professional	26	$275.42	$275.42	$275.42
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $407.38 / $407.38 / $407.38	Professional	TC	$407.38	$407.38	$407.38

North Carolina rates for HCPCS 76604