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 $51.29 / $316.23 / $812.83	Facility		$51.29	$316.23	$812.83
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.00 / $13.49 / $33.88	Facility	26	$10.00	$13.49	$33.88
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $33.88 / $128.82 / $426.58	Facility	TC	$33.88	$128.82	$426.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $54.95 / $173.78	Professional		$35.48	$54.95	$173.78
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $18.62 / $47.86	Professional	26	$10.00	$18.62	$47.86
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $41.69 / $117.49	Professional	TC	$25.12	$41.69	$117.49
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $40.74 / $77.62	Professional		$28.84	$40.74	$77.62
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $16.60 / $24.55	Professional	26	$8.32	$16.60	$24.55
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $37.15 / $67.61	Professional	TC	$22.91	$37.15	$67.61
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.59 / $14.13 / $213.80	Facility		$12.59	$14.13	$213.80
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $51.29 / $104.71	Professional		$38.02	$51.29	$104.71
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $16.22 / $31.62	Professional	26	$11.75	$16.22	$31.62
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $35.48 / $72.44	Professional	TC	$26.92	$35.48	$72.44
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $144.54 / $275.42	Facility		$61.66	$144.54	$275.42
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $54.95 / $109.65	Professional		$37.15	$54.95	$109.65
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $16.22 / $29.51	Professional	26	$12.30	$16.22	$29.51
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $37.15 / $79.43	Professional	TC	$24.55	$37.15	$79.43
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $199.53 / $524.81	Facility		$69.18	$199.53	$524.81
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.63 / $12.30 / $17.38	Facility	26	$2.63	$12.30	$17.38
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $6.76 / $31.62 / $44.67	Facility	TC	$6.76	$31.62	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $47.86 / $89.13	Professional		$30.90	$47.86	$89.13
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $14.13 / $27.54	Professional	26	$9.55	$14.13	$27.54
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $33.88 / $67.61	Professional	TC	$22.39	$33.88	$67.61
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $53.70 / $72.44	Professional		$25.70	$53.70	$72.44
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $12.02 / $16.22	Professional	26	$8.51	$12.02	$16.22
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $40.74 / $54.95	Professional	TC	$17.38	$40.74	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $48.98 / $89.13	Professional		$38.90	$48.98	$89.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $13.80 / $22.91	Professional	26	$10.47	$13.80	$22.91
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $43.65 / $77.62	Professional	TC	$33.88	$43.65	$77.62
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $363.08 / $363.08	Facility		$257.04	$363.08	$363.08
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $186.21 / $186.21 / $186.21	Facility	TC	$186.21	$186.21	$186.21
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $331.13 / $331.13	Professional		$60.26	$331.13	$331.13
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $120.23 / $120.23	Professional	26	$95.50	$120.23	$120.23
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $245.47 / $245.47	Professional	TC	$194.98	$245.47	$245.47
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $32.36 / $44.67	Professional		$12.59	$32.36	$44.67
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $53.70 / $97.72	Facility		$35.48	$53.70	$97.72
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.12 / $9.12 / $9.12	Facility	26	$9.12	$9.12	$9.12
Providence Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Facility	TC	$27.54	$27.54	$27.54
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $50.12 / $97.72	Professional		$31.62	$50.12	$97.72
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $13.18 / $25.12	Professional	26	$9.33	$13.18	$25.12
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $33.11 / $60.26	Professional	TC	$21.88	$33.11	$60.26
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $47.86 / $125.89	Professional		$47.86	$47.86	$125.89
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $37.15 / $37.15	Professional	26	$37.15	$37.15	$37.15
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $89.13 / $89.13	Professional	TC	$89.13	$89.13	$89.13
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $48.98 / $63.10	Professional		$38.90	$48.98	$63.10
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $144.54 / $218.78	Facility		$50.12	$144.54	$218.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $41.69 / $109.65	Professional		$27.54	$41.69	$109.65
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.59 / $51.29	Professional	26	$8.91	$12.59	$51.29
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $28.84 / $95.50	Professional	TC	$19.50	$28.84	$95.50

California rates for HCPCS 72040