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 $2.57 / $16.22 / $30.90	Facility		$2.57	$16.22	$30.90
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.33 / $9.77 / $18.62	Facility	26	$9.33	$9.77	$18.62
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $3.47 / $6.76 / $12.30	Facility	TC	$3.47	$6.76	$12.30
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $17.78 / $41.69	Professional		$15.14	$17.78	$41.69
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $25.12 / $81.28	Professional	26	$8.91	$25.12	$81.28
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.25 / $7.08 / $19.95	Professional	TC	$5.25	$7.08	$19.95
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.50 / $15.85 / $21.88	Professional	26	$5.50	$15.85	$21.88
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.47 / $10.47 / $10.47	Professional	TC	$10.47	$10.47	$10.47
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $18.20 / $23.44	Professional	26	$10.96	$18.20	$23.44
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $6.17 / $6.92 / $10.00	Professional	TC	$6.17	$6.92	$10.00
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $15.14 / $31.62	Professional		$8.71	$15.14	$31.62
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.62 / $8.51 / $20.89	Professional	26	$5.62	$8.51	$20.89
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2.57 / $4.17 / $12.30	Professional	TC	$2.57	$4.17	$12.30
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $30.20 / $32.36	Professional		$30.20	$30.20	$32.36
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $21.88 / $22.91	Professional	26	$21.88	$21.88	$22.91
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.22 / $23.44 / $38.02	Facility		$16.22	$23.44	$38.02
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.76 / $11.22 / $19.95	Professional		$7.76	$11.22	$19.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $19.50 / $43.65	Professional		$10.96	$19.50	$43.65
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.92 / $12.30 / $25.70	Professional	26	$6.92	$12.30	$25.70
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.55 / $7.24 / $14.45	Professional	TC	$3.55	$7.24	$14.45
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Wellcare Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	TC	$100.00	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $169.82	Professional		$131.83	$131.83	$169.82
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Professional	26	$100.00	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Professional	TC	$100.00	$100.00	$100.00

North Carolina rates for HCPCS 88311