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 $11.75 / $12.59 / $18.20	Facility	26	$11.75	$12.59	$18.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $48.98 / $95.50	Professional		$39.81	$48.98	$95.50
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $14.13 / $32.36	Professional	26	$10.96	$14.13	$32.36
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $32.36 / $64.57	Professional	TC	$28.84	$32.36	$64.57
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $42.66 / $85.11	Professional		$35.48	$42.66	$85.11
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $16.98 / $22.39	Professional	26	$13.18	$16.98	$22.39
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $39.81 / $39.81	Professional	TC	$39.81	$39.81	$39.81
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $79.43	Professional		$70.79	$70.79	$79.43
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $17.38 / $38.02	Professional	26	$11.75	$17.38	$38.02
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $35.48 / $91.20	Professional	TC	$28.18	$35.48	$91.20
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.88 / $13.49 / $19.05	Facility	26	$2.88	$13.49	$19.05
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $63.10 / $104.71	Professional		$44.67	$63.10	$104.71
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $17.78 / $31.62	Professional	26	$12.88	$17.78	$31.62
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $44.67 / $75.86	Professional	TC	$31.62	$44.67	$75.86
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $41.69 / $109.65	Professional		$41.69	$41.69	$109.65
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $46.77 / $91.20	Professional		$13.18	$46.77	$91.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $47.86 / $79.43	Professional		$36.31	$47.86	$79.43
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $14.13 / $23.99	Professional	26	$10.47	$14.13	$23.99
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $33.88 / $54.95	Professional	TC	$25.70	$33.88	$54.95
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $79.43 / $79.43 / $85.11	Facility	26	$79.43	$79.43	$85.11
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $275.42 / $380.19	Professional		$275.42	$275.42	$380.19
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $74.13 / $93.33	Professional	26	$74.13	$74.13	$93.33
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $204.17 / $281.84	Professional	TC	$204.17	$204.17	$281.84

North Carolina rates for HCPCS 94727