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 $51.29 / $194.98 / $489.78	Facility		$51.29	$194.98	$489.78
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.47 / $13.49 / $19.95	Facility	26	$10.47	$13.49	$19.95
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $26.30 / $72.44 / $380.19	Facility	TC	$26.30	$72.44	$380.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $56.23 / $114.82	Professional		$32.36	$56.23	$114.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $16.98 / $37.15	Professional	26	$10.00	$16.98	$37.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $39.81 / $77.62	Professional	TC	$22.91	$39.81	$77.62
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $31.62 / $48.98	Professional		$25.12	$31.62	$48.98
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $10.72 / $16.60	Professional	26	$8.13	$10.72	$16.60
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $23.44 / $38.90	Professional	TC	$18.62	$23.44	$38.90
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $213.80 / $223.87	Facility		$190.55	$213.80	$223.87
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $42.66 / $67.61	Professional		$32.36	$42.66	$67.61
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $14.79 / $24.55	Professional	26	$11.48	$14.79	$24.55
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $27.54 / $43.65	Professional	TC	$20.89	$27.54	$43.65
Aultcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $45.71 / $74.13	Professional		$42.66	$45.71	$74.13
Aultcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $12.30 / $20.42	Professional	26	$12.02	$12.30	$20.42
Aultcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $33.11 / $53.70	Professional	TC	$30.20	$33.11	$53.70
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.02 / $34.67 / $58.88	Facility		$12.02	$34.67	$58.88
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $33.11 / $56.23	Professional		$11.48	$33.11	$56.23
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $125.89 / $269.15	Facility		$70.79	$125.89	$269.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $46.77 / $87.10	Professional		$31.62	$46.77	$87.10
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $14.45 / $25.12	Professional	26	$9.55	$14.45	$25.12
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $33.11 / $61.66	Professional	TC	$21.88	$33.11	$61.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $234.42 / $446.68	Facility		$91.20	$234.42	$446.68
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.63 / $12.30 / $17.38	Facility	26	$2.63	$12.30	$17.38
Medical Mutual of Ohio Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $6.76 / $44.67 / $302.00	Facility	TC	$6.76	$44.67	$302.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $42.66 / $75.86	Professional		$25.12	$42.66	$75.86
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $15.14 / $30.90	Professional	26	$9.55	$15.14	$30.90
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $33.11 / $53.70	Professional	TC	$21.88	$33.11	$53.70
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $32.36 / $33.11	Professional		$16.22	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
SummaCare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $107.15 / $107.15 / $107.15	Facility	26	$107.15	$107.15	$107.15
SummaCare Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $107.15 / $107.15 / $107.15	Facility	TC	$107.15	$107.15	$107.15
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $50.12 / $87.10	Professional		$38.90	$50.12	$87.10
SummaCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $13.80 / $23.44	Professional	26	$10.72	$13.80	$23.44
SummaCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $37.15 / $61.66	Professional	TC	$28.18	$37.15	$61.66
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $66.07 / $199.53	Facility		$12.30	$66.07	$199.53
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $39.81 / $77.62	Professional		$29.51	$39.81	$77.62
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.30 / $26.92	Professional	26	$8.91	$12.30	$26.92
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $27.54 / $56.23	Professional	TC	$19.95	$27.54	$56.23

Ohio rates for HCPCS 72040