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 $41.69 / $199.53 / $416.87	Facility		$41.69	$199.53	$416.87
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $15.49 / $43.65	Facility	26	$7.94	$15.49	$43.65
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $32.36 / $102.33 / $467.74	Facility	TC	$32.36	$102.33	$467.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $56.23 / $158.49	Professional		$30.90	$56.23	$158.49
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $19.95 / $37.15	Professional	26	$9.55	$19.95	$37.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $40.74 / $89.13	Professional	TC	$21.88	$40.74	$89.13
AllWays Health Partners Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $120.23 / $363.08	Facility		$36.31	$120.23	$363.08
AllWays Health Partners Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.12 / $100.00 / $100.00	Facility	26	$25.12	$100.00	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $72.44 / $186.21 / $186.21	Facility	TC	$72.44	$186.21	$186.21
AllWays Health Partners Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $51.29 / $257.04	Professional		$31.62	$51.29	$257.04
AllWays Health Partners Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $15.14 / $95.50	Professional	26	$9.55	$15.14	$95.50
AllWays Health Partners Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $38.90 / $194.98	Professional	TC	$24.55	$38.90	$194.98
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $89.13 / $128.82	Facility		$70.79	$89.13	$128.82
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $20.89 / $28.18	Professional	26	$12.30	$20.89	$28.18
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $63.10 / $83.18	Professional	TC	$37.15	$63.10	$83.18
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $63.10 / $169.82 / $331.13	Facility		$63.10	$169.82	$331.13
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Facility	TC	$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $57.54 / $107.15	Professional		$31.62	$57.54	$107.15
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $16.22 / $30.90	Professional	26	$9.12	$16.22	$30.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $43.65 / $79.43	Professional	TC	$23.44	$43.65	$79.43
Fallon Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.18 / $42.66 / $89.13	Facility		$13.18	$42.66	$89.13
Fallon Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $41.69 / $75.86	Professional		$13.18	$41.69	$75.86
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $77.62 / $131.83	Professional		$40.74	$77.62	$131.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $15.85 / $27.54	Professional	26	$10.72	$15.85	$27.54
Harvard Pilgrim Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $44.67 / $79.43	Professional	TC	$30.20	$44.67	$79.43
Health New England Facility/Professional Facility Modifier Typical Low / Median / Typical High $44.67 / $93.33 / $316.23	Facility		$44.67	$93.33	$316.23
Health New England Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $22.39 / $66.07	Professional		$15.14	$22.39	$66.07
Mass General Brigham Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $120.23 / $363.08	Facility		$36.31	$120.23	$363.08
Mass General Brigham Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.12 / $100.00 / $100.00	Facility	26	$25.12	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $72.44 / $186.21 / $186.21	Facility	TC	$72.44	$186.21	$186.21
Mass General Brigham Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $51.29 / $257.04	Professional		$31.62	$51.29	$257.04
Mass General Brigham Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $15.14 / $95.50	Professional	26	$9.55	$15.14	$95.50
Mass General Brigham Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $38.90 / $194.98	Professional	TC	$24.55	$38.90	$194.98
Tufts Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $107.15 / $489.78	Facility		$30.90	$107.15	$489.78
Tufts Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $45.71 / $70.79	Professional		$30.90	$45.71	$70.79
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.98 / $79.43 / $288.40	Facility		$16.98	$79.43	$288.40
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $53.70 / $125.89	Professional		$38.02	$53.70	$125.89
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $15.14 / $33.88	Professional	26	$10.72	$15.14	$33.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $38.90 / $91.20	Professional	TC	$26.92	$38.90	$91.20

Massachusetts rates for HCPCS 72040