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 $61.66 / $61.66 / $61.66	Facility	26	$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $28.84 / $64.57	Professional		$25.12	$28.84	$64.57
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $23.99 / $36.31	Professional	26	$19.05	$23.99	$36.31
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $30.20 / $41.69 / $41.69	Professional	52	$30.20	$41.69	$41.69
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.02 / $3.98 / $27.54	Professional	TC	$3.02	$3.98	$27.54
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $45.71	Professional		$36.31	$36.31	$45.71
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $42.66 / $42.66	Professional	26	$42.66	$42.66	$42.66
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $28.18 / $38.02	Professional	26	$23.44	$28.18	$38.02
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.63 / $4.37 / $31.62	Professional	TC	$3.63	$4.37	$31.62
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.03 / $28.18 / $39.81	Facility	26	$6.03	$28.18	$39.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $53.70 / $79.43	Professional		$26.92	$53.70	$79.43
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $28.84 / $64.57	Professional	26	$17.38	$28.84	$64.57
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2.82 / $7.08 / $48.98	Professional	TC	$2.82	$7.08	$48.98
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.89 / $35.48 / $45.71	Professional		$5.89	$35.48	$45.71
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $29.51 / $60.26	Professional		$20.42	$29.51	$60.26
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $21.38 / $38.02	Professional	26	$15.85	$21.38	$38.02
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2.82 / $4.27 / $38.02	Professional	TC	$2.82	$4.27	$38.02
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $154.88 / $154.88 / $154.88	Facility	26	$154.88	$154.88	$154.88
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $323.59 / $323.59	Professional		$316.23	$323.59	$323.59
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $154.88 / $154.88 / $199.53	Professional	26	$154.88	$154.88	$199.53
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $223.87 / $223.87	Professional	TC	$218.78	$223.87	$223.87

North Carolina rates for HCPCS 92542