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 $190.55 / $190.55 / $190.55	Facility	26	$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $109.65 / $223.87	Professional		$93.33	$109.65	$223.87
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $77.62 / $138.04	Professional	26	$70.79	$77.62	$138.04
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $117.49 / $117.49 / $117.49	Professional	52	$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $30.90 / $39.81	Professional	TC	$19.05	$30.90	$39.81
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $93.33 / $173.78	Professional		$79.43	$93.33	$173.78
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $138.04 / $138.04 / $138.04	Professional	26	$138.04	$138.04	$138.04
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $87.10 / $154.88	Professional	26	$72.44	$87.10	$154.88
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $26.92 / $40.74	Professional	TC	$20.89	$26.92	$40.74
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $18.62 / $87.10 / $123.03	Facility	26	$18.62	$87.10	$123.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $131.83 / $275.42	Professional		$87.10	$131.83	$275.42
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $107.15 / $208.93	Professional	26	$67.61	$107.15	$208.93
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $32.36 / $64.57	Professional	TC	$17.78	$32.36	$64.57
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $109.65 / $169.82	Professional		$42.66	$109.65	$169.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $97.72 / $173.78	Professional		$74.13	$97.72	$173.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $75.86 / $138.04	Professional	26	$54.95	$75.86	$138.04
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $22.39 / $39.81	Professional	TC	$15.49	$22.39	$39.81
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $489.78 / $489.78 / $489.78	Facility	26	$489.78	$489.78	$489.78
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $707.95 / $851.14 / $851.14	Professional		$707.95	$851.14	$851.14
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $489.78 / $602.56 / $602.56	Professional	26	$489.78	$602.56	$602.56
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $245.47 / $245.47	Professional	TC	$213.80	$245.47	$245.47

North Carolina rates for HCPCS 92540