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 $43.65 / $66.07 / $114.82	Facility		$43.65	$66.07	$114.82
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.33 / $9.77 / $17.78	Facility	26	$9.33	$9.77	$17.78
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $28.84 / $57.54 / $97.72	Facility	TC	$28.84	$57.54	$97.72
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $81.28 / $229.09	Professional		$58.88	$81.28	$229.09
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $47.86 / $154.88	Professional	26	$9.33	$47.86	$154.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $66.07 / $173.78	Professional	TC	$50.12	$66.07	$173.78
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.50 / $13.80 / $24.55	Professional	26	$5.50	$13.80	$24.55
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $32.36 / $32.36	Professional	TC	$32.36	$32.36	$32.36
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $67.61 / $95.50	Professional		$57.54	$67.61	$95.50
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $20.42 / $25.12	Professional	26	$10.00	$20.42	$25.12
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $58.88 / $81.28	Professional	TC	$17.38	$58.88	$81.28
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $39.81 / $112.20	Professional		$26.92	$39.81	$112.20
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.50 / $6.46 / $20.42	Professional	26	$5.50	$6.46	$20.42
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $33.11 / $95.50	Professional	TC	$19.95	$33.11	$95.50
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $100.00	Professional		$85.11	$85.11	$100.00
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 $51.29 / $83.18 / $141.25	Facility		$51.29	$83.18	$141.25
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $64.57 / $79.43	Professional		$11.22	$64.57	$79.43
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $61.66 / $147.91	Professional		$38.90	$61.66	$147.91
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.92 / $11.75 / $27.54	Professional	26	$6.92	$11.75	$27.54
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $50.12 / $123.03	Professional	TC	$31.62	$50.12	$123.03
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
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 $436.52 / $436.52 / $436.52	Facility	TC	$436.52	$436.52	$436.52
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $512.86 / $691.83	Professional		$512.86	$512.86	$691.83
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $107.15 / $107.15	Professional	26	$107.15	$107.15	$107.15
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $436.52 / $436.52 / $602.56	Professional	TC	$436.52	$436.52	$602.56

North Carolina rates for HCPCS 88313