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 $50.12 / $223.87 / $457.09	Facility		$50.12	$223.87	$457.09
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.77 / $13.49 / $33.11	Facility	26	$9.77	$13.49	$33.11
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $24.55 / $83.18 / $524.81	Facility	TC	$24.55	$83.18	$524.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $54.95 / $144.54	Professional		$32.36	$54.95	$144.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $18.20 / $38.02	Professional	26	$8.91	$18.20	$38.02
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $38.90 / $77.62	Professional	TC	$22.91	$38.90	$77.62
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $39.81 / $66.07	Professional		$25.12	$39.81	$66.07
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $19.50 / $26.92	Professional	26	$12.59	$19.50	$26.92
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $33.88 / $45.71	Professional	TC	$23.44	$33.88	$45.71
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $24.55 / $31.62	Professional	26	$16.22	$24.55	$31.62
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $46.77 / $75.86	Professional	TC	$34.67	$46.77	$75.86
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $44.67 / $91.20 / $177.83	Facility		$44.67	$91.20	$177.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $53.70 / $97.72	Professional		$33.88	$53.70	$97.72
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $16.22 / $29.51	Professional	26	$9.55	$16.22	$29.51
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $36.31 / $69.18	Professional	TC	$22.91	$36.31	$69.18
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $19.05 / $19.05	Professional	26	$19.05	$19.05	$19.05
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $50.12 / $81.28	Facility		$34.67	$50.12	$81.28
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $213.80 / $229.09 / $912.01	Facility		$213.80	$229.09	$912.01
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $38.02 / $79.43	Professional		$10.96	$38.02	$79.43
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.49 / $43.65 / $67.61	Facility		$15.49	$43.65	$67.61
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $45.71 / $89.13	Professional		$33.11	$45.71	$89.13
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $14.13 / $30.90	Professional	26	$10.23	$14.13	$30.90
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $31.62 / $64.57	Professional	TC	$22.39	$31.62	$64.57
Wellcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $257.04 / $363.08	Facility		$257.04	$257.04	$363.08
Wellcare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Wellcare Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $186.21 / $186.21 / $186.21	Facility	TC	$186.21	$186.21	$186.21
Wellcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $257.04 / $331.13	Professional		$257.04	$257.04	$331.13
Wellcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $95.50 / $120.23	Professional	26	$95.50	$95.50	$120.23
Wellcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $194.98 / $245.47	Professional	TC	$194.98	$194.98	$245.47

North Carolina rates for HCPCS 72040