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 $45.71 / $154.88 / $331.13	Facility		$45.71	$154.88	$331.13
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.59 / $12.59 / $15.85	Facility	26	$12.59	$12.59	$15.85
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $32.36 / $40.74 / $181.97	Facility	TC	$32.36	$40.74	$181.97
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $54.95 / $154.88	Professional		$33.88	$54.95	$154.88
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $19.50 / $50.12	Professional	26	$10.00	$19.50	$50.12
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $37.15 / $77.62	Professional	TC	$22.91	$37.15	$77.62
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $32.36 / $48.98	Professional		$26.30	$32.36	$48.98
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $10.23 / $18.62	Professional	26	$8.32	$10.23	$18.62
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $22.91 / $48.98	Professional	TC	$16.98	$22.91	$48.98
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $70.79 / $123.03	Facility		$47.86	$70.79	$123.03
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $58.88 / $63.10	Professional		$43.65	$58.88	$63.10
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $16.98 / $22.91	Professional	26	$16.98	$16.98	$22.91
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $46.77 / $63.10	Professional	TC	$46.77	$46.77	$63.10
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.59 / $34.67 / $58.88	Facility		$12.59	$34.67	$58.88
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $34.67 / $54.95	Professional		$11.75	$34.67	$54.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $44.67 / $91.20	Professional		$30.20	$44.67	$91.20
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $14.13 / $27.54	Professional	26	$8.91	$14.13	$27.54
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $31.62 / $75.86	Professional	TC	$21.38	$31.62	$75.86
Health Alliance Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $44.67 / $154.88 / $354.81	Facility		$44.67	$154.88	$354.81
Health Alliance Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.59 / $12.59 / $25.70	Facility	26	$12.59	$12.59	$25.70
Health Alliance Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $32.36 / $60.26 / $194.98	Facility	TC	$32.36	$60.26	$194.98
Health Alliance Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $50.12 / $114.82	Professional		$34.67	$50.12	$114.82
Health Alliance Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $15.14 / $38.02	Professional	26	$10.00	$15.14	$38.02
Health Alliance Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $33.88 / $72.44	Professional	TC	$23.99	$33.88	$72.44
Priority Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $40.74 / $64.57	Professional		$28.84	$40.74	$64.57
Priority Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $12.88 / $22.39	Professional	26	$9.12	$12.88	$22.39
Priority Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $28.18 / $53.70	Professional	TC	$19.95	$28.18	$53.70
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $81.28 / $229.09	Facility		$26.92	$81.28	$229.09
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $42.66 / $109.65	Professional		$33.11	$42.66	$109.65
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $13.18 / $87.10	Professional	26	$10.47	$13.18	$87.10
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $29.51 / $131.83	Professional	TC	$22.91	$29.51	$131.83

Michigan rates for HCPCS 72040