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 Typical Low / Median / Typical High $147.91 / $338.84 / $436.52	Facility		$147.91	$338.84	$436.52
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $33.88 / $47.86 / $85.11	Facility	26	$33.88	$47.86	$85.11
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $213.80 / $549.54	Professional		$131.83	$213.80	$549.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $54.95 / $199.53	Professional	26	$36.31	$54.95	$199.53
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $95.50 / $218.78 / $234.42	Professional	52	$95.50	$218.78	$234.42
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $134.90 / $245.47	Professional	TC	$95.50	$134.90	$245.47
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $134.90 / $239.88	Professional		$109.65	$134.90	$239.88
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $41.69 / $66.07	Professional	26	$33.88	$41.69	$66.07
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $26.30 / $26.92 / $54.95	Professional	52	$26.30	$26.92	$54.95
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $89.13 / $151.36	Professional	TC	$89.13	$89.13	$151.36
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $53.70 / $141.25	Professional	26	$38.02	$53.70	$141.25
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $141.25 / $354.81	Professional	TC	$95.50	$141.25	$354.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $275.42 / $467.74	Professional		$134.90	$275.42	$467.74
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $77.62 / $134.90	Professional	26	$40.74	$77.62	$134.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $194.98 / $331.13	Professional	TC	$97.72	$194.98	$331.13
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $323.59 / $323.59	Professional		$257.04	$323.59	$323.59
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $95.50 / $95.50	Professional	26	$75.86	$95.50	$95.50
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $181.97 / $354.81	Facility		$131.83	$181.97	$354.81
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $147.91 / $239.88	Professional		$56.23	$147.91	$239.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $213.80 / $354.81	Professional		$144.54	$213.80	$354.81
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $61.66 / $102.33	Professional	26	$38.02	$61.66	$102.33
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $154.88 / $251.19	Professional	TC	$102.33	$154.88	$251.19
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $1,380.38 / $2,187.76	Facility		$1,380.38	$1,380.38	$2,187.76
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $257.04 / $257.04 / $257.04	Facility	26	$257.04	$257.04	$257.04
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,023.29 / $2,187.76 / $2,187.76	Professional		$1,023.29	$2,187.76	$2,187.76
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $269.15 / $309.03 / $309.03	Professional	26	$269.15	$309.03	$309.03
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $776.25 / $2,089.30 / $2,089.30	Professional	TC	$776.25	$2,089.30	$2,089.30

North Carolina rates for HCPCS 95800