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 $104.71 / $141.25 / $316.23	Facility	26	$104.71	$141.25	$316.23
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $794.33 / $1,548.82	Professional		$512.86	$794.33	$1,548.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $194.98 / $562.34	Professional	26	$114.82	$194.98	$562.34
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $190.55 / $239.88 / $616.60	Professional	52	$190.55	$239.88	$616.60
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $416.87 / $616.60 / $1,096.48	Professional	TC	$416.87	$616.60	$1,096.48
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $602.56 / $1,071.52	Professional		$537.03	$602.56	$1,071.52
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $186.21 / $218.78	Professional	26	$109.65	$186.21	$218.78
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $616.60 / $616.60 / $616.60	Professional	TC	$616.60	$616.60	$616.60
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $120.23 / $177.83 / $389.05	Professional	26	$120.23	$177.83	$389.05
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $537.03 / $602.56 / $1,584.89	Professional	TC	$537.03	$602.56	$1,584.89
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $1,096.48 / $1,862.09	Professional		$645.65	$1,096.48	$1,862.09
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $218.78 / $380.19	Professional	26	$123.03	$218.78	$380.19
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $501.19 / $870.96 / $1,479.11	Professional	TC	$501.19	$870.96	$1,479.11
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $1,174.90 / $1,174.90	Professional		$933.25	$1,174.90	$1,174.90
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $234.42 / $288.40 / $288.40	Professional	26	$234.42	$288.40	$288.40
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $812.83 / $1,000.00	Professional		$177.83	$812.83	$1,000.00
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $831.76 / $1,445.44	Professional		$588.84	$831.76	$1,445.44
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $169.82 / $288.40	Professional	26	$109.65	$169.82	$288.40
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $467.74 / $660.69 / $1,096.48	Professional	TC	$467.74	$660.69	$1,096.48
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $776.25 / $776.25 / $776.25	Facility	26	$776.25	$776.25	$776.25
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $1,122.02 / $1,122.02 / $1,122.02	Professional	26	$1,122.02	$1,122.02	$1,122.02
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3,981.07 / $3,981.07 / $4,570.88	Professional	TC	$3,981.07	$3,981.07	$4,570.88

North Carolina rates for HCPCS 95811