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 $66.07 / $95.50 / $177.83	Facility		$66.07	$95.50	$177.83
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $32.36 / $33.88 / $61.66	Facility	26	$32.36	$33.88	$61.66
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $123.03 / $389.05	Professional		$85.11	$123.03	$389.05
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $190.55 / $660.69	Professional	26	$33.11	$190.55	$660.69
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $69.18 / $158.49	Professional	TC	$54.95	$69.18	$158.49
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $53.70 / $95.50	Professional	26	$47.86	$53.70	$95.50
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Professional	TC	$100.00	$100.00	$100.00
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $83.18 / $104.71	Professional	26	$34.67	$83.18	$104.71
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $67.61 / $114.82	Professional	TC	$63.10	$67.61	$114.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $81.28 / $186.21	Professional		$52.48	$81.28	$186.21
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $29.51 / $93.33	Professional	26	$19.95	$29.51	$93.33
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $39.81 / $117.49	Professional	TC	$25.70	$39.81	$117.49
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $190.55	Professional		$173.78	$173.78	$190.55
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $102.33 / $107.15	Professional	26	$102.33	$102.33	$107.15
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $141.25 / $223.87	Facility		$93.33	$141.25	$223.87
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $72.44 / $117.49	Professional		$38.02	$72.44	$117.49
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $112.20 / $223.87	Professional		$67.61	$112.20	$223.87
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $42.66 / $91.20	Professional	26	$25.70	$42.66	$91.20
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $69.18 / $141.25	Professional	TC	$36.31	$69.18	$141.25
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $257.04 / $257.04 / $257.04	Facility	26	$257.04	$257.04	$257.04
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $758.58 / $1,000.00	Professional		$758.58	$758.58	$1,000.00
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $316.23 / $331.13 / $331.13	Professional	26	$316.23	$331.13	$331.13
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $512.86 / $512.86 / $676.08	Professional	TC	$512.86	$512.86	$676.08

North Carolina rates for HCPCS 88360