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 $83.18 / $85.11 / $128.82	Facility	26	$83.18	$85.11	$128.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $436.52 / $891.25	Professional		$363.08	$436.52	$891.25
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $134.90 / $346.74	Professional	26	$79.43	$134.90	$346.74
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $275.42 / $331.13 / $676.08	Professional	TC	$275.42	$331.13	$676.08
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $489.78 / $549.54	Professional		$457.09	$489.78	$549.54
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $109.65 / $120.23	Professional	26	$109.65	$109.65	$120.23
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $426.58 / $426.58 / $426.58	Professional	TC	$426.58	$426.58	$426.58
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $128.82 / $269.15	Professional	26	$85.11	$128.82	$269.15
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $363.08 / $954.99	Professional	TC	$177.83	$363.08	$954.99
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $537.03 / $1,096.48	Professional		$316.23	$537.03	$1,096.48
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $128.82 / $234.42	Professional	26	$79.43	$128.82	$234.42
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $426.58 / $870.96	Professional	TC	$213.80	$426.58	$870.96
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $281.84 / $380.19	Professional		$128.82	$281.84	$380.19
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $112.20 / $138.04	Professional	26	$77.62	$112.20	$138.04
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $446.68 / $933.25	Professional		$93.33	$446.68	$933.25
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $436.52 / $933.25	Professional		$288.40	$436.52	$933.25
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $100.00 / $186.21	Professional	26	$75.86	$100.00	$186.21
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $331.13 / $724.44	Professional	TC	$204.17	$331.13	$724.44
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $537.03 / $537.03 / $537.03	Facility	26	$537.03	$537.03	$537.03
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,754.23 / $2,754.23 / $3,715.35	Professional		$2,754.23	$2,754.23	$3,715.35
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $676.08 / $676.08 / $776.25	Professional	26	$676.08	$676.08	$776.25
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2,187.76 / $2,187.76 / $3,019.95	Professional	TC	$2,187.76	$2,187.76	$3,019.95

North Carolina rates for HCPCS 95813