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 $26.92 / $89.13 / $354.81	Facility		$26.92	$89.13	$354.81
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.51 / $12.02 / $28.84	Facility	26	$8.51	$12.02	$28.84
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $28.84 / $83.18 / $263.03	Facility	TC	$28.84	$83.18	$263.03
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $54.95 / $154.88	Professional		$32.36	$54.95	$154.88
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $16.60 / $37.15	Professional	26	$9.55	$16.60	$37.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $37.15 / $72.44	Professional	TC	$21.88	$37.15	$72.44
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $32.36 / $56.23	Professional		$25.70	$32.36	$56.23
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.03 / $8.51 / $15.85	Professional	26	$6.03	$8.51	$15.85
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $32.36 / $51.29	Professional	TC	$18.62	$32.36	$51.29
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $37.15 / $87.10	Professional		$29.51	$37.15	$87.10
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $9.77 / $22.39	Professional	26	$7.76	$9.77	$22.39
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $26.92 / $57.54	Professional	TC	$21.88	$26.92	$57.54
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $15.85 / $39.81	Facility		$15.85	$15.85	$39.81
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $39.81 / $54.95	Professional		$15.85	$39.81	$54.95
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $95.50 / $218.78	Facility		$69.18	$95.50	$218.78
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.63 / $12.30 / $17.38	Facility	26	$2.63	$12.30	$17.38
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $6.76 / $31.62 / $44.67	Facility	TC	$6.76	$31.62	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $52.48 / $147.91	Professional		$31.62	$52.48	$147.91
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $15.85 / $38.90	Professional	26	$8.71	$15.85	$38.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $38.90 / $134.90	Professional	TC	$22.39	$38.90	$134.90
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.12 / $38.90 / $104.71	Facility		$25.12	$38.90	$104.71
Emblem Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $21.38 / $21.38 / $21.38	Facility	TC	$21.38	$21.38	$21.38
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $53.70 / $83.18	Professional		$40.74	$53.70	$83.18
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $15.49 / $31.62	Professional	26	$10.47	$15.49	$31.62
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $42.66 / $61.66	Professional	TC	$31.62	$42.66	$61.66
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Excellus BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $9.12 / $9.12 / $9.12	Facility	TC	$9.12	$9.12	$9.12
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $51.29 / $93.33	Professional		$26.30	$51.29	$93.33
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $14.13 / $25.70	Professional	26	$8.91	$14.13	$25.70
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $37.15 / $67.61	Professional	TC	$19.95	$37.15	$67.61
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $8.91 / $15.85	Professional	26	$7.94	$8.91	$15.85
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $112.20 / $354.81	Facility		$26.92	$112.20	$354.81
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $26.30 / $70.79 / $234.42	Facility	TC	$26.30	$70.79	$234.42
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $38.90 / $63.10	Professional		$37.15	$38.90	$63.10
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $12.88 / $22.91	Professional	26	$12.59	$12.88	$22.91
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $69.18 / $70.79	Professional	TC	$43.65	$69.18	$70.79
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $57.54 / $53,703.18	Facility		$28.84	$57.54	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $52.48 / $104.71	Professional		$43.65	$52.48	$104.71
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $15.49 / $28.84	Professional	26	$12.88	$15.49	$28.84
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $36.31 / $75.86	Professional	TC	$30.90	$36.31	$75.86
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $181.97 / $213.80	Facility		$67.61	$181.97	$213.80
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $53.70 / $131.83	Professional		$33.88	$53.70	$131.83
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $14.13 / $69.18	Professional	26	$9.33	$14.13	$69.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $39.81 / $131.83	Professional	TC	$24.55	$39.81	$131.83
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $25.70 / $85.11	Facility		$15.14	$25.70	$85.11
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.91 / $12.59 / $35.48	Facility	26	$8.91	$12.59	$35.48
Univera Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $9.12 / $17.78 / $58.88	Facility	TC	$9.12	$17.78	$58.88
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $51.29 / $97.72	Professional		$26.30	$51.29	$97.72
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $14.13 / $31.62	Professional	26	$8.91	$14.13	$31.62
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $37.15 / $72.44	Professional	TC	$19.95	$37.15	$72.44

New York rates for HCPCS 72040