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 $77.62 / $91.20 / $151.36	Facility		$77.62	$91.20	$151.36
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $26.92 / $28.18 / $52.48	Facility	26	$26.92	$28.18	$52.48
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $28.18 / $63.10 / $100.00	Facility	TC	$28.18	$63.10	$100.00
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $102.33 / $446.68	Professional		$70.79	$102.33	$446.68
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $72.44 / $416.87	Professional	26	$26.92	$72.44	$416.87
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $66.07 / $281.84	Professional	TC	$48.98	$66.07	$281.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $45.71 / $72.44	Professional	26	$15.85	$45.71	$72.44
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $36.31 / $85.11	Professional	TC	$36.31	$36.31	$85.11
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $128.82 / $162.18	Professional		$77.62	$128.82	$162.18
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $63.10 / $79.43	Professional	26	$28.84	$63.10	$79.43
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $63.10 / $109.65	Professional	TC	$51.29	$63.10	$109.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $74.13 / $169.82	Professional		$42.66	$74.13	$169.82
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $24.55 / $72.44	Professional	26	$16.60	$24.55	$72.44
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $33.88 / $104.71	Professional	TC	$22.39	$33.88	$104.71
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $138.04 / $154.88	Professional		$138.04	$138.04	$154.88
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $77.62 / $81.28	Professional	26	$77.62	$77.62	$81.28
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $114.82 / $190.55	Facility		$77.62	$114.82	$190.55
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $66.07 / $102.33	Professional		$32.36	$66.07	$102.33
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $83.18 / $213.80	Professional		$57.54	$83.18	$213.80
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $33.11 / $81.28	Professional	26	$20.42	$33.11	$81.28
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $53.70 / $120.23	Professional	TC	$33.88	$53.70	$120.23
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 $213.80 / $213.80 / $213.80	Facility	26	$213.80	$213.80	$213.80
Wellcare Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $426.58 / $426.58 / $426.58	Facility	TC	$426.58	$426.58	$426.58
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $660.69 / $933.25	Professional		$660.69	$660.69	$933.25
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $269.15 / $275.42 / $275.42	Professional	26	$269.15	$275.42	$275.42
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $426.58 / $426.58 / $676.08	Professional	TC	$426.58	$426.58	$676.08

North Carolina rates for HCPCS 88342