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 $77.62 / $275.42 / $512.86	Facility		$77.62	$275.42	$512.86
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.12 / $11.75 / $16.22	Facility	26	$9.12	$11.75	$16.22
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $23.44 / $43.65 / $436.52	Facility	TC	$23.44	$43.65	$436.52
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $47.86 / $104.71	Professional		$31.62	$47.86	$104.71
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $14.13 / $56.23	Professional	26	$8.91	$14.13	$56.23
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $31.62 / $58.88	Professional	TC	$22.91	$31.62	$58.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $31.62 / $38.90	Professional		$28.84	$31.62	$38.90
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $8.13 / $10.00	Professional	26	$7.94	$8.13	$10.00
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $26.92 / $38.02	Professional	TC	$21.88	$26.92	$38.02
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $58.88 / $134.90 / $275.42	Facility		$58.88	$134.90	$275.42
BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $47.86 / $63.10 / $426.58	Facility	TC	$47.86	$63.10	$426.58
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $42.66 / $74.13	Professional		$38.02	$42.66	$74.13
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $20.42 / $30.90	Professional	26	$10.47	$20.42	$30.90
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $28.18 / $40.74	Professional	TC	$19.05	$28.18	$40.74
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $234.42 / $446.68	Facility		$134.90	$234.42	$446.68
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $43.65 / $77.62	Professional		$32.36	$43.65	$77.62
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $14.79 / $22.91	Professional	26	$10.72	$14.79	$22.91
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $28.18 / $53.70	Professional	TC	$22.39	$28.18	$53.70
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $22.91 / $22.91	Professional	26	$22.91	$22.91	$22.91
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $47.86 / $83.18	Facility		$32.36	$47.86	$83.18
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $58.88 / $81.28 / $363.08	Facility		$58.88	$81.28	$363.08
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $42.66 / $74.13	Professional		$31.62	$42.66	$74.13
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $12.88 / $21.88	Professional	26	$10.23	$12.88	$21.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $29.51 / $51.29	Professional	TC	$21.38	$29.51	$51.29

South Carolina rates for HCPCS 72040