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 $87.10 / $251.19 / $338.84	Facility		$87.10	$251.19	$338.84
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $218.78 / $229.09 / $794.33	Facility	TC	$218.78	$229.09	$794.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $54.95 / $162.18	Professional		$38.90	$54.95	$162.18
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $18.20 / $40.74	Professional	26	$10.23	$18.20	$40.74
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $52.48 / $87.10	Professional	TC	$26.92	$52.48	$87.10
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $66,069.34 / $95,499.26	Facility		$120.23	$66,069.34	$95,499.26
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $63.10 / $63.10	Professional		$16.98	$63.10	$63.10
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $56.23 / $154.88	Facility		$40.74	$56.23	$154.88
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $16.98 / $16.98 / $20.89	Facility	26	$16.98	$16.98	$20.89
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $45.71 / $45.71 / $56.23	Facility	TC	$45.71	$45.71	$56.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $54.95 / $93.33	Professional		$33.88	$54.95	$93.33
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $16.98 / $27.54	Professional	26	$9.55	$16.98	$27.54
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $36.31 / $69.18	Professional	TC	$23.99	$36.31	$69.18
MountainHealth Co-op Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $69.18 / $102.33	Facility		$54.95	$69.18	$102.33
MountainHealth Co-op Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $69.18 / $102.33	Professional		$54.95	$69.18	$102.33
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $54.95 / $87.10	Facility		$35.48	$54.95	$87.10
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $16.98 / $16.98 / $20.89	Facility	26	$16.98	$16.98	$20.89
Providence Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $45.71 / $45.71 / $56.23	Facility	TC	$45.71	$45.71	$56.23
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $87.10 / $107.15	Professional		$48.98	$87.10	$107.15
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $16.98 / $24.55	Professional	26	$10.72	$16.98	$24.55
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $39.81 / $66.07	Professional	TC	$27.54	$39.81	$66.07
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $38.90 / $83.18	Professional		$33.88	$38.90	$83.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $11.75 / $85.11	Professional	26	$11.22	$11.75	$85.11
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $26.92 / $56.23	Professional	TC	$21.88	$26.92	$56.23

Montana rates for HCPCS 72040