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 $19.50 / $89.13 / $162.18	Facility		$19.50	$89.13	$162.18
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $20.42 / $21.38 / $39.81	Facility	26	$20.42	$21.38	$39.81
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $32.36 / $69.18 / $120.23	Facility	TC	$32.36	$69.18	$120.23
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $123.03 / $478.63	Professional		$81.28	$123.03	$478.63
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $87.10 / $346.74	Professional	26	$21.88	$87.10	$346.74
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $79.43 / $229.09	Professional	TC	$61.66	$79.43	$229.09
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $125.89	Professional		$93.33	$93.33	$125.89
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $34.67 / $54.95	Professional	26	$12.02	$34.67	$54.95
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $38.90 / $87.10	Professional	TC	$38.90	$38.90	$87.10
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $93.33 / $131.83	Professional		$83.18	$93.33	$131.83
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $40.74 / $50.12	Professional	26	$21.88	$40.74	$50.12
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $75.86 / $97.72	Professional	TC	$50.12	$75.86	$97.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $63.10 / $154.88	Professional		$37.15	$63.10	$154.88
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $14.45 / $46.77	Professional	26	$12.59	$14.45	$46.77
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $40.74 / $117.49	Professional	TC	$22.39	$40.74	$117.49
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $120.23 / $138.04	Professional		$120.23	$120.23	$138.04
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $50.12 / $51.29	Professional	26	$50.12	$50.12	$51.29
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $114.82 / $190.55	Facility		$79.43	$114.82	$190.55
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.59 / $7.59 / $7.59	Professional		$7.59	$7.59	$7.59
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $79.43 / $109.65	Professional		$24.55	$79.43	$109.65
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $89.13 / $213.80	Professional		$52.48	$89.13	$213.80
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $26.92 / $61.66	Professional	26	$15.14	$26.92	$61.66
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $61.66 / $141.25	Professional	TC	$38.02	$61.66	$141.25
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Facility	26	$162.18	$162.18	$162.18
Wellcare Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $549.54 / $549.54 / $549.54	Facility	TC	$549.54	$549.54	$549.54
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $707.95 / $707.95 / $933.25	Professional		$707.95	$707.95	$933.25
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $162.18 / $162.18 / $204.17	Professional	26	$162.18	$162.18	$204.17
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $549.54 / $549.54 / $724.44	Professional	TC	$549.54	$549.54	$724.44

North Carolina rates for HCPCS 88312