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 $50.12 / $134.90 / $204.17	Facility		$50.12	$134.90	$204.17
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $53.70 / $56.23 / $104.71	Facility	26	$53.70	$56.23	$104.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $134.90 / $398.11	Professional		$102.33	$134.90	$398.11
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $141.25 / $512.86	Professional	26	$53.70	$141.25	$512.86
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $72.44 / $194.98	Professional	TC	$57.54	$72.44	$194.98
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $79.43 / $123.03	Professional	26	$31.62	$79.43	$123.03
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $102.33 / $128.82	Professional	26	$57.54	$102.33	$128.82
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $81.28 / $125.89	Professional	TC	$46.77	$81.28	$125.89
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $104.71 / $239.88	Professional		$64.57	$104.71	$239.88
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $47.86 / $120.23	Professional	26	$33.11	$47.86	$120.23
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $45.71 / $128.82	Professional	TC	$28.84	$45.71	$128.82
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $213.80 / $234.42	Professional		$213.80	$213.80	$234.42
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $128.82 / $128.82 / $131.83	Professional	26	$128.82	$128.82	$131.83
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $173.78 / $263.03	Facility		$120.23	$173.78	$263.03
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $91.20 / $162.18	Professional		$64.57	$91.20	$162.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $138.04 / $269.15	Professional		$77.62	$138.04	$269.15
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $70.79 / $131.83	Professional	26	$39.81	$70.79	$131.83
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $69.18 / $141.25	Professional	TC	$37.15	$69.18	$141.25
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $436.52 / $436.52 / $436.52	Facility	26	$436.52	$436.52	$436.52
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $436.52 / $436.52 / $537.03	Professional	26	$436.52	$436.52	$537.03
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $562.34 / $562.34 / $891.25	Professional	TC	$562.34	$562.34	$891.25

North Carolina rates for HCPCS 88173