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 $0.39 / $117.49 / $467.74	Facility		$0.39	$117.49	$467.74
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.95 / $19.95 / $19.95	Facility	26	$19.95	$19.95	$19.95
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $67.61 / $371.54 / $630.96	Facility	TC	$67.61	$371.54	$630.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $63.10 / $141.25	Professional		$33.88	$63.10	$141.25
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $50.12 / $70.79 / $70.79	Professional	25	$50.12	$70.79	$70.79
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $25.12 / $69.18	Professional	26	$19.05	$25.12	$69.18
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $77.62 / $234.42 / $338.84	Professional	50	$77.62	$234.42	$338.84
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $26.92 / $87.10 / $154.88	Professional	52	$26.92	$87.10	$154.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $28.84 / $97.72	Professional	TC	$14.13	$28.84	$97.72
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $35.48 / $61.66	Professional		$29.51	$35.48	$61.66
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Professional	26	$27.54	$27.54	$27.54
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Professional	50	$93.33	$93.33	$93.33
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $8.32 / $8.32 / $33.11	Professional	52	$8.32	$8.32	$33.11
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.30 / $12.30 / $12.30	Professional	TC	$12.30	$12.30	$12.30
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $57.54 / $57.54	Professional		$56.23	$57.54	$57.54
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $38.02 / $46.77	Professional	26	$19.95	$38.02	$46.77
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $60.26 / $91.20	Professional	TC	$15.49	$60.26	$91.20
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $85.11 / $154.88	Professional		$36.31	$85.11	$154.88
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $32.36 / $56.23	Professional	26	$19.05	$32.36	$56.23
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $52.48 / $95.50	Professional	TC	$16.22	$52.48	$95.50
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $34.67 / $34.67	Professional	26	$34.67	$34.67	$34.67
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $67.61 / $134.90	Facility		$36.31	$67.61	$134.90
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $323.59 / $436.52	Facility		$323.59	$323.59	$436.52
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $97.72 / $295.12	Professional		$29.51	$97.72	$295.12
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $66.07 / $104.71	Facility		$28.18	$66.07	$104.71
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $54.95 / $128.82	Professional		$35.48	$54.95	$128.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $23.44 / $46.77	Professional	26	$12.59	$23.44	$46.77
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $28.18 / $81.28	Professional	TC	$19.05	$28.18	$81.28
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $131.83 / $131.83 / $131.83	Facility	26	$131.83	$131.83	$131.83
Wellcare Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $141.25 / $141.25 / $141.25	Facility	TC	$141.25	$141.25	$141.25
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $131.83 / $131.83 / $162.18	Professional	26	$131.83	$131.83	$162.18
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $295.12 / $295.12	Professional	TC	$295.12	$295.12	$295.12

North Carolina rates for HCPCS 92250