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 $12.02 / $12.02 / $12.02	Facility	26	$12.02	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $41.69 / $83.18	Professional		$36.31	$41.69	$83.18
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $12.02 / $22.39	Professional	26	$10.96	$12.02	$22.39
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $28.84 / $51.29	Professional	TC	$25.12	$28.84	$51.29
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $12.02 / $17.78	Professional	26	$12.02	$12.02	$17.78
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $37.15 / $37.15	Professional	TC	$37.15	$37.15	$37.15
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 $12.02 / $13.18 / $38.90	Professional	26	$12.02	$13.18	$38.90
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $33.11 / $85.11	Professional	TC	$33.11	$33.11	$85.11
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.95 / $13.80 / $19.50	Facility	26	$2.95	$13.80	$19.50
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $58.88 / $102.33	Professional		$42.66	$58.88	$102.33
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $18.20 / $31.62	Professional	26	$13.18	$18.20	$31.62
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $41.69 / $70.79	Professional	TC	$29.51	$41.69	$70.79
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $42.66 / $102.33	Professional		$42.66	$42.66	$102.33
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $44.67 / $89.13	Professional		$13.49	$44.67	$89.13
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $46.77 / $75.86	Professional		$34.67	$46.77	$75.86
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $14.45 / $23.99	Professional	26	$10.72	$14.45	$23.99
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $32.36 / $52.48	Professional	TC	$23.99	$32.36	$52.48
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 $251.19 / $251.19 / $371.54	Professional		$251.19	$251.19	$371.54
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $75.86 / $97.72	Professional	26	$75.86	$75.86	$97.72
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $186.21 / $275.42	Professional	TC	$186.21	$186.21	$275.42

North Carolina rates for HCPCS 94728