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 $19.50 / $20.42 / $37.15	Facility	26	$19.50	$20.42	$37.15
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $57.54 / $128.82	Professional		$45.71	$57.54	$128.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $20.42 / $77.62	Professional	26	$17.78	$20.42	$77.62
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $37.15 / $89.13	Professional	TC	$28.18	$37.15	$89.13
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Professional	26	$44.67	$44.67	$44.67
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $37.15 / $46.77	Professional	26	$20.89	$37.15	$46.77
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $41.69 / $67.61	Professional	TC	$31.62	$41.69	$67.61
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $39.81 / $104.71	Professional		$26.30	$39.81	$104.71
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $17.38 / $41.69	Professional	26	$11.75	$17.38	$41.69
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $26.30 / $66.07	Professional	TC	$14.13	$26.30	$66.07
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $87.10 / $97.72	Professional		$87.10	$87.10	$97.72
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 $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $51.29 / $79.43	Professional		$23.44	$51.29	$79.43
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $56.23 / $117.49	Professional		$31.62	$56.23	$117.49
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $24.55 / $52.48	Professional	26	$14.45	$24.55	$52.48
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $32.36 / $70.79	Professional	TC	$17.78	$32.36	$70.79
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $154.88 / $154.88 / $154.88	Facility	26	$154.88	$154.88	$154.88
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $467.74 / $707.95	Professional		$467.74	$467.74	$707.95
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $194.98 / $194.98 / $199.53	Professional	26	$194.98	$194.98	$199.53
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $309.03 / $309.03 / $501.19	Professional	TC	$309.03	$309.03	$501.19

North Carolina rates for HCPCS 88161