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 $16.60 / $20.42 / $20.42	Facility	26	$16.60	$20.42	$20.42
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $56.23 / $151.36	Professional		$47.86	$56.23	$151.36
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $21.88 / $48.98	Professional	26	$19.05	$21.88	$48.98
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $34.67 / $102.33	Professional	TC	$30.20	$34.67	$102.33
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $37.15 / $58.88	Professional	26	$20.89	$37.15	$58.88
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $39.81 / $66.07	Professional	TC	$31.62	$39.81	$66.07
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $38.02 / $104.71	Professional		$24.55	$38.02	$104.71
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $15.85 / $43.65	Professional	26	$12.02	$15.85	$43.65
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.75 / $25.12 / $67.61	Professional	TC	$11.75	$25.12	$67.61
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $89.13	Professional		$81.28	$81.28	$89.13
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $45.71 / $47.86	Professional	26	$45.71	$45.71	$47.86
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $50.12 / $77.62	Professional		$23.44	$50.12	$77.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $61.66 / $114.82	Professional		$30.20	$61.66	$114.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $25.70 / $53.70	Professional	26	$14.45	$25.70	$53.70
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $35.48 / $72.44	Professional	TC	$15.49	$35.48	$72.44
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Facility	26	$158.49	$158.49	$158.49
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $457.09 / $691.83	Professional		$457.09	$457.09	$691.83
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $158.49 / $158.49 / $199.53	Professional	26	$158.49	$158.49	$199.53
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $302.00 / $501.19	Professional	TC	$302.00	$302.00	$501.19

North Carolina rates for HCPCS 88160