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 $56.23 / $251.19 / $478.63	Facility		$56.23	$251.19	$478.63
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $13.49 / $22.91 / $97.72	Facility	26	$13.49	$22.91	$97.72
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $46.77 / $263.03 / $371.54	Facility	TC	$46.77	$263.03	$371.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $57.54 / $154.88	Professional		$33.88	$57.54	$154.88
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $20.42 / $26.92	Professional	26	$9.77	$20.42	$26.92
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $44.67 / $109.65	Professional	TC	$23.99	$44.67	$109.65
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $39.81 / $85.11	Professional		$28.18	$39.81	$85.11
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $18.20 / $23.99	Professional	26	$10.96	$18.20	$23.99
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $45.71 / $63.10	Professional	TC	$21.38	$45.71	$63.10
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $194.98 / $371.54	Facility		$147.91	$194.98	$371.54
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $70.79 / $74.13	Professional		$66.07	$70.79	$74.13
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $19.95 / $21.38	Professional	26	$19.05	$19.95	$21.38
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $51.29 / $53.70	Professional	TC	$45.71	$51.29	$53.70
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $213.80 / $213.80 / $323.59	Facility		$213.80	$213.80	$323.59
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $60.26 / $60.26 / $60.26	Facility	26	$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $154.88 / $154.88 / $154.88	Facility	TC	$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $81.28 / $117.49	Professional		$30.90	$81.28	$117.49
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $23.99 / $30.90	Professional	26	$12.30	$23.99	$30.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $58.88 / $87.10	Professional	TC	$26.30	$58.88	$87.10
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $147.91 / $407.38	Facility		$50.12	$147.91	$407.38
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $53.70 / $100.00 / $100.00	Facility	26	$53.70	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $114.82 / $134.90 / $524.81	Facility	TC	$114.82	$134.90	$524.81
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $57.54 / $257.04	Professional		$39.81	$57.54	$257.04
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $20.42 / $27.54	Professional	26	$13.18	$20.42	$27.54
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $38.90 / $194.98	Professional	TC	$27.54	$38.90	$194.98
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $83.18 / $134.90	Professional		$74.13	$83.18	$134.90
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $23.99 / $36.31	Professional	26	$20.89	$23.99	$36.31
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $60.26 / $97.72	Professional	TC	$53.70	$60.26	$97.72
Midlands Facility/Professional Facility Modifier Typical Low / Median / Typical High $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Midlands Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $60.26 / $60.26 / $60.26	Facility	26	$60.26	$60.26	$60.26
Midlands Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $51.29 / $51.29 / $154.88	Facility	TC	$51.29	$51.29	$154.88
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $61.66 / $134.90	Professional		$61.66	$61.66	$134.90
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $20.89 / $36.31	Professional	26	$18.20	$20.89	$36.31
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $42.66 / $97.72	Professional	TC	$40.74	$42.66	$97.72
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $234.42 / $269.15 / $275.42	Facility		$234.42	$269.15	$275.42
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 $23.99 / $107.15 / $162.18	Facility		$23.99	$107.15	$162.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $61.66 / $93.33	Professional		$38.90	$61.66	$93.33
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $20.42 / $27.54	Professional	26	$12.02	$20.42	$27.54
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $44.67 / $64.57	Professional	TC	$26.92	$44.67	$64.57

Nebraska rates for HCPCS 72040