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 $56.23 / $61.66 / $93.33	Facility	26	$56.23	$61.66	$93.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $416.87 / $851.14	Professional		$302.00	$416.87	$851.14
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $67.61 / $199.53	Professional	26	$51.29	$67.61	$199.53
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $323.59 / $616.60	Professional	TC	$251.19	$323.59	$616.60
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $436.52 / $645.65	Professional		$354.81	$436.52	$645.65
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $85.11 / $100.00	Professional	26	$72.44	$85.11	$100.00
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $309.03 / $309.03 / $309.03	Professional	TC	$309.03	$309.03	$309.03
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $81.28 / $177.83	Professional	26	$54.95	$81.28	$177.83
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $309.03 / $331.13 / $912.01	Professional	TC	$309.03	$331.13	$912.01
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $446.68 / $977.24	Professional		$218.78	$446.68	$977.24
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $83.18 / $154.88	Professional	26	$52.48	$83.18	$154.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $154.88 / $371.54 / $831.76	Professional	TC	$154.88	$371.54	$831.76
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $199.53 / $309.03	Professional		$93.33	$199.53	$309.03
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $70.79 / $89.13	Professional	26	$47.86	$70.79	$89.13
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $389.05 / $812.83	Professional		$60.26	$389.05	$812.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $363.08 / $776.25	Professional		$208.93	$363.08	$776.25
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $66.07 / $120.23	Professional	26	$48.98	$66.07	$120.23
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $309.03 / $645.65	Professional	TC	$165.96	$309.03	$645.65
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Facility	26	$354.81	$354.81	$354.81
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,454.71 / $2,454.71 / $3,235.94	Professional		$2,454.71	$2,454.71	$3,235.94
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $354.81 / $354.81 / $446.68	Professional	26	$354.81	$354.81	$446.68
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2,089.30 / $2,089.30 / $2,818.38	Professional	TC	$2,089.30	$2,089.30	$2,818.38

North Carolina rates for HCPCS 95816