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 26 Typical Low / Median / Typical High $10.00 / $10.47 / $16.22	Facility	26	$10.00	$10.47	$16.22
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $43.65 / $158.49	Professional		$28.84	$43.65	$158.49
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $15.14 / $53.70	Professional	26	$9.55	$15.14	$53.70
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $21.88 / $43.65	Professional	TC	$18.20	$21.88	$43.65
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $50.12 / $61.66	Professional		$37.15	$50.12	$61.66
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $17.78 / $25.12	Professional	26	$15.14	$17.78	$25.12
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $32.36 / $40.74	Professional	26	$19.05	$32.36	$40.74
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $37.15 / $61.66	Professional	TC	$30.20	$37.15	$61.66
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $50.12 / $93.33	Professional		$30.90	$50.12	$93.33
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $19.95 / $35.48	Professional	26	$11.48	$19.95	$35.48
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $29.51 / $53.70	Professional	TC	$19.50	$29.51	$53.70
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $81.28 / $144.54	Professional		$40.74	$81.28	$144.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $42.66 / $81.28	Professional		$30.90	$42.66	$81.28
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $16.98 / $30.20	Professional	26	$12.02	$16.98	$30.20
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $25.70 / $48.98	Professional	TC	$19.05	$25.70	$48.98
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $70.79 / $70.79 / $85.11	Facility	26	$70.79	$70.79	$85.11
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $194.98 / $257.04	Professional		$194.98	$194.98	$257.04
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $69.18 / $83.18	Professional	26	$69.18	$69.18	$83.18
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $128.82 / $169.82	Professional	TC	$128.82	$128.82	$169.82

North Carolina rates for HCPCS 91200