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 $58.88 / $199.53 / $426.58	Facility		$58.88	$199.53	$426.58
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.91 / $10.72 / $21.88	Facility	26	$8.91	$10.72	$21.88
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $24.55 / $104.71 / $316.23	Facility	TC	$24.55	$104.71	$316.23
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $53.70 / $173.78	Professional		$32.36	$53.70	$173.78
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $16.22 / $47.86	Professional	26	$8.91	$16.22	$47.86
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $39.81 / $131.83	Professional	TC	$22.91	$39.81	$131.83
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $37.15 / $37.15 / $37.15	Facility	26	$37.15	$37.15	$37.15
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Facility	TC	$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $95.50 / $117.49	Professional		$38.02	$95.50	$117.49
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $24.55 / $30.90	Professional	26	$10.72	$24.55	$30.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $69.18 / $87.10	Professional	TC	$26.30	$69.18	$87.10
Hally Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $63.10 / $100.00	Professional		$35.48	$63.10	$100.00
Hally Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $19.05 / $60.26	Professional	26	$10.00	$19.05	$60.26
Hally Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $34.67 / $61.66	Professional	TC	$16.60	$34.67	$61.66
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $45.71 / $93.33 / $346.74	Facility		$45.71	$93.33	$346.74
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $35.48 / $100.00 / $100.00	Facility	26	$35.48	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $91.20 / $131.83 / $275.42	Facility	TC	$91.20	$131.83	$275.42
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $63.10 / $257.04	Professional		$35.48	$63.10	$257.04
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $17.38 / $91.20	Professional	26	$10.96	$17.38	$91.20
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $33.88 / $194.98	Professional	TC	$22.91	$33.88	$194.98
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $85.11 / $100.00	Professional		$72.44	$85.11	$100.00
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $26.30 / $34.67	Professional	26	$21.38	$26.30	$34.67
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $61.66 / $72.44	Professional	TC	$50.12	$61.66	$72.44
Midlands Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Midlands Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $37.15 / $37.15 / $37.15	Facility	26	$37.15	$37.15	$37.15
Midlands Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Facility	TC	$93.33	$93.33	$93.33
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $93.33 / $100.00	Professional		$72.44	$93.33	$100.00
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $26.30 / $32.36	Professional	26	$22.91	$26.30	$32.36
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $67.61 / $72.44	Professional	TC	$50.12	$67.61	$72.44
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $707.95 / $1,995.26	Facility		$91.20	$707.95	$1,995.26
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $30.20 / $67.61	Professional		$10.72	$30.20	$67.61
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $190.55 / $245.47	Facility		$109.65	$190.55	$245.47
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $53.70 / $100.00	Professional		$35.48	$53.70	$100.00
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $18.20 / $70.79	Professional	26	$10.96	$18.20	$70.79
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $36.31 / $95.50	Professional	TC	$24.55	$36.31	$95.50
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $67.61 / $79.43	Professional		$67.61	$67.61	$79.43
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $18.20 / $21.38	Professional	26	$18.20	$18.20	$21.38
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $50.12 / $58.88	Professional	TC	$50.12	$50.12	$58.88

Iowa rates for HCPCS 72040