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 $14.13 / $14.13 / $21.38	Facility	26	$14.13	$14.13	$21.38
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $45.71 / $114.82	Professional		$35.48	$45.71	$114.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $15.49 / $47.86	Professional	26	$12.88	$15.49	$47.86
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $25.12 / $43.65	Professional	TC	$21.88	$25.12	$43.65
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $36.31 / $66.07	Professional		$30.90	$36.31	$66.07
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $25.70 / $26.92	Professional	26	$25.70	$25.70	$26.92
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $23.99 / $70.79	Professional		$23.44	$23.99	$70.79
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $20.89 / $45.71	Professional	26	$14.13	$20.89	$45.71
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $25.70 / $67.61	Professional	TC	$23.44	$25.70	$67.61
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.47 / $16.22 / $22.91	Facility	26	$3.47	$16.22	$22.91
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $52.48 / $93.33	Professional		$38.02	$52.48	$93.33
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $20.89 / $35.48	Professional	26	$14.45	$20.89	$35.48
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $31.62 / $57.54	Professional	TC	$21.88	$31.62	$57.54
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $22.91 / $22.91	Professional	26	$22.91	$22.91	$22.91
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $97.72	Professional		$33.88	$33.88	$97.72
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $38.90 / $77.62	Professional		$15.49	$38.90	$77.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $41.69 / $72.44	Professional		$32.36	$41.69	$72.44
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $16.22 / $28.18	Professional	26	$12.30	$16.22	$28.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $25.12 / $43.65	Professional	TC	$19.50	$25.12	$43.65
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 $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $89.13 / $112.20	Professional	26	$89.13	$89.13	$112.20
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $199.53 / $213.80	Professional	TC	$199.53	$199.53	$213.80

North Carolina rates for HCPCS 94375