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 $20.89 / $69.18 / $331.13	Facility		$20.89	$69.18	$331.13
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.00 / $2.00 / $2.00	Facility	26	$2.00	$2.00	$2.00
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $29.51 / $81.28	Professional		$18.62	$29.51	$81.28
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.00 / $3.02 / $15.14	Professional	26	$2.00	$3.02	$15.14
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $16.60 / $36.31 / $41.69	Professional	52	$16.60	$36.31	$41.69
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $20.89 / $47.86	Professional	TC	$15.85	$20.89	$47.86
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $21.88 / $33.88	Professional		$20.42	$21.88	$33.88
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.89 / $3.89 / $3.89	Professional	26	$3.89	$3.89	$3.89
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $8.51 / $8.51 / $8.51	Professional	52	$8.51	$8.51	$8.51
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $54.95 / $54.95	Professional		$53.70	$54.95	$54.95
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.82 / $5.25 / $17.38	Professional	26	$2.82	$5.25	$17.38
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $29.51 / $53.70	Professional	TC	$19.05	$29.51	$53.70
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $41.69 / $83.18	Professional		$20.42	$41.69	$83.18
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.95 / $6.03 / $17.38	Professional	26	$2.95	$6.03	$17.38
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $33.88 / $61.66	Professional	TC	$17.78	$33.88	$61.66
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $16.60 / $16.60	Professional	26	$16.60	$16.60	$16.60
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.38 / $33.88 / $64.57	Facility		$21.38	$33.88	$64.57
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $43.65 / $85.11	Professional		$23.99	$43.65	$85.11
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $26.92 / $54.95	Facility		$12.30	$26.92	$54.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $25.12 / $50.12	Professional		$19.50	$25.12	$50.12
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.88 / $4.37 / $8.91	Professional	26	$2.88	$4.37	$8.91
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $20.89 / $41.69	Professional	TC	$15.14	$20.89	$41.69
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $128.82 / $128.82 / $128.82	Professional	26	$128.82	$128.82	$128.82
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $263.03 / $263.03	Professional	TC	$263.03	$263.03	$263.03

North Carolina rates for HCPCS 92285