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 $54.95 / $165.96 / $501.19	Facility		$54.95	$165.96	$501.19
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.91 / $14.45 / $72.44	Facility	26	$8.91	$14.45	$72.44
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $30.20 / $81.28 / $190.55	Facility	TC	$30.20	$81.28	$190.55
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $48.98 / $104.71	Professional		$30.90	$48.98	$104.71
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $15.14 / $33.11	Professional	26	$8.91	$15.14	$33.11
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $32.36 / $74.13	Professional	TC	$21.88	$32.36	$74.13
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $31.62 / $45.71	Professional		$26.30	$31.62	$45.71
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $10.00 / $21.38	Professional	26	$7.94	$10.00	$21.38
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $28.18 / $33.11	Professional	TC	$22.39	$28.18	$33.11
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
AmeriHealth Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $2,344.23 / $2,344.23 / $2,344.23	Facility	TC	$2,344.23	$2,344.23	$2,344.23
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $12.88 / $23.99	Professional	26	$12.88	$12.88	$23.99
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $77.62 / $138.04	Facility		$70.79	$77.62	$138.04
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.24 / $7.24 / $7.24	Facility	26	$7.24	$7.24	$7.24
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $16.22 / $16.22 / $16.22	Facility	TC	$16.22	$16.22	$16.22
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $46.77 / $85.11	Professional		$31.62	$46.77	$85.11
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $13.49 / $22.91	Professional	26	$8.32	$13.49	$22.91
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $30.20 / $54.95	Professional	TC	$20.89	$30.20	$54.95
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $56.23 / $67.61	Professional		$40.74	$56.23	$67.61
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $14.13 / $16.98	Professional	26	$10.23	$14.13	$16.98
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $42.66 / $51.29	Professional	TC	$30.90	$42.66	$51.29
Horizon BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $269.15 / $3,890.45	Facility		$81.28	$269.15	$3,890.45
Horizon BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $30.20 / $10,471.29 / $25,703.96	Facility	TC	$30.20	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $38.90 / $74.13	Professional		$31.62	$38.90	$74.13
Horizon BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $10.96 / $21.88	Professional	26	$9.33	$10.96	$21.88
Horizon BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $28.18 / $54.95	Professional	TC	$23.99	$28.18	$54.95
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $57.54 / $131.83 / $204.17	Facility		$57.54	$131.83	$204.17
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $42.66 / $74.13	Professional		$28.18	$42.66	$74.13
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $12.59 / $21.88	Professional	26	$7.76	$12.59	$21.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $30.90 / $52.48	Professional	TC	$19.95	$30.90	$52.48

New Jersey rates for HCPCS 72040