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 $25.70 / $57.54 / $95.50	Facility		$25.70	$57.54	$95.50
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $29.51 / $30.20 / $54.95	Facility	26	$29.51	$30.20	$54.95
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $25.70 / $28.84 / $47.86	Facility	TC	$25.70	$28.84	$47.86
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $109.65 / $575.44	Professional		$53.70	$109.65	$575.44
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $154.88 / $891.25	Professional	26	$33.88	$154.88	$891.25
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $61.66 / $380.19	Professional	TC	$25.12	$61.66	$380.19
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $69.18 / $151.36	Professional		$33.11	$69.18	$151.36
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $42.66 / $87.10	Professional	26	$16.98	$42.66	$87.10
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $36.31 / $74.13	Professional	TC	$16.22	$36.31	$74.13
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $63.10 / $169.82	Professional		$60.26	$63.10	$169.82
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $67.61 / $79.43	Professional	26	$30.90	$67.61	$79.43
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $38.90 / $83.18	Professional	TC	$32.36	$38.90	$83.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $64.57 / $162.18	Professional		$33.88	$64.57	$162.18
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $26.30 / $64.57	Professional	26	$17.38	$26.30	$64.57
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $30.20 / $85.11	Professional	TC	$15.85	$30.20	$85.11
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $158.49 / $177.83	Professional		$158.49	$158.49	$177.83
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $69.18 / $72.44	Professional	26	$69.18	$69.18	$72.44
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $97.72 / $181.97	Facility		$54.95	$97.72	$181.97
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $34.67 / $70.79	Professional		$32.36	$34.67	$70.79
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $67.61 / $162.18	Professional		$40.74	$67.61	$162.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $37.15 / $79.43	Professional	26	$21.38	$37.15	$79.43
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $32.36 / $91.20	Professional	TC	$17.78	$32.36	$91.20
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $229.09 / $229.09 / $229.09	Facility	26	$229.09	$229.09	$229.09
Wellcare Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $218.78 / $218.78 / $218.78	Facility	TC	$218.78	$218.78	$218.78
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $562.34 / $588.84	Professional		$562.34	$562.34	$588.84
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $302.00 / $302.00 / $302.00	Professional	26	$302.00	$302.00	$302.00
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $363.08 / $363.08	Professional	TC	$354.81	$363.08	$363.08

North Carolina rates for HCPCS 88305