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 $10.72 / $81.28 / $151.36	Facility		$10.72	$81.28	$151.36
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $45.71 / $50.12 / $91.20	Facility	26	$45.71	$50.12	$91.20
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $15.49 / $32.36 / $58.88	Facility	TC	$15.49	$32.36	$58.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $89.13 / $204.17	Professional		$70.79	$89.13	$204.17
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $223.87 / $870.96	Professional	26	$54.95	$223.87	$870.96
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $33.11 / $85.11	Professional	TC	$26.92	$33.11	$85.11
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $79.43 / $109.65	Professional	26	$28.18	$79.43	$109.65
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $89.13 / $114.82	Professional	26	$50.12	$89.13	$114.82
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $38.02 / $56.23	Professional	TC	$27.54	$38.02	$56.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $74.13 / $154.88	Professional		$42.66	$74.13	$154.88
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $43.65 / $104.71	Professional	26	$28.84	$43.65	$104.71
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.02 / $19.50 / $56.23	Professional	TC	$12.02	$19.50	$56.23
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $144.54 / $154.88	Professional		$144.54	$144.54	$154.88
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $109.65 / $114.82	Professional	26	$109.65	$109.65	$114.82
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $114.82 / $177.83	Facility		$79.43	$114.82	$177.83
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $57.54 / $100.00	Professional		$37.15	$57.54	$100.00
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $93.33 / $169.82	Professional		$53.70	$93.33	$169.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $61.66 / $117.49	Professional	26	$34.67	$61.66	$117.49
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $29.51 / $58.88	Professional	TC	$16.60	$29.51	$58.88
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $380.19 / $380.19 / $380.19	Facility	26	$380.19	$380.19	$380.19
Wellcare Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $257.04 / $257.04 / $257.04	Facility	TC	$257.04	$257.04	$257.04
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $645.65 / $831.76	Professional		$645.65	$645.65	$831.76
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $380.19 / $380.19 / $478.63	Professional	26	$380.19	$380.19	$478.63
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $363.08 / $363.08	Professional	TC	$363.08	$363.08	$363.08

North Carolina rates for HCPCS 88331