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 $52.48 / $302.00 / $616.60	Facility		$52.48	$302.00	$616.60
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.92 / $8.71 / $15.49	Facility	26	$6.92	$8.71	$15.49
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $23.99 / $128.82 / $489.78	Facility	TC	$23.99	$128.82	$489.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $44.67 / $138.04	Professional		$30.20	$44.67	$138.04
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $12.59 / $34.67	Professional	26	$7.94	$12.59	$34.67
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $28.84 / $58.88	Professional	TC	$20.42	$28.84	$58.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $35.48 / $52.48	Professional		$26.30	$35.48	$52.48
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.47 / $19.95	Professional	26	$7.08	$10.47	$19.95
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $22.39 / $35.48	Professional	TC	$18.20	$22.39	$35.48
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $190.55 / $338.84	Facility		$79.43	$190.55	$338.84
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $28.84 / $40.74	Professional		$8.32	$28.84	$40.74
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $158.49 / $436.52	Facility		$37.15	$158.49	$436.52
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $51.29 / $85.11	Professional		$37.15	$51.29	$85.11
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $83.18 / $83.18	Facility		$36.31	$83.18	$83.18
Christus Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $26.30 / $26.30 / $29.51	Facility	TC	$26.30	$26.30	$29.51
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $19.05 / $19.05	Professional	26	$10.00	$19.05	$19.05
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $114.82 / $245.47	Facility		$52.48	$114.82	$245.47
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 $29.51 / $41.69 / $74.13	Professional		$29.51	$41.69	$74.13
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.59 / $23.44	Professional	26	$8.91	$12.59	$23.44
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $28.84 / $54.95	Professional	TC	$20.42	$28.84	$54.95
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $53.70 / $257.04 / $363.08	Facility		$53.70	$257.04	$363.08
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $186.21 / $186.21 / $186.21	Facility	TC	$186.21	$186.21	$186.21
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $257.04 / $331.13	Professional		$47.86	$257.04	$331.13
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $120.23 / $120.23	Professional	26	$95.50	$120.23	$120.23
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $245.47 / $245.47	Professional	TC	$194.98	$245.47	$245.47
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $58.88 / $446.68	Facility		$33.11	$58.88	$446.68
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.08 / $8.91 / $14.45	Facility	26	$7.08	$8.91	$14.45
Moda Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $22.91 / $85.11 / $363.08	Facility	TC	$22.91	$85.11	$363.08
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $45.71 / $95.50	Professional		$28.84	$45.71	$95.50
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $12.88 / $28.18	Professional	26	$7.94	$12.88	$28.18
Moda Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $32.36 / $61.66	Professional	TC	$20.42	$32.36	$61.66
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $32.36 / $33.11	Professional		$8.91	$32.36	$33.11
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $588.84 / $588.84	Facility		$109.65	$588.84	$588.84
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $38.02 / $77.62	Professional		$10.72	$38.02	$77.62
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $50.12 / $95.50	Facility		$33.88	$50.12	$95.50
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.63 / $12.30 / $17.38	Facility	26	$2.63	$12.30	$17.38
Providence Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $6.92 / $32.36 / $45.71	Facility	TC	$6.92	$32.36	$45.71
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $40.74 / $81.28	Professional		$29.51	$40.74	$81.28
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $11.75 / $21.38	Professional	26	$8.91	$11.75	$21.38
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $27.54 / $50.12	Professional	TC	$19.95	$27.54	$50.12
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $81.28 / $186.21	Facility		$28.18	$81.28	$186.21
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $38.02 / $83.18	Professional		$30.90	$38.02	$83.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $10.96 / $26.92	Professional	26	$9.33	$10.96	$26.92
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $26.30 / $54.95	Professional	TC	$20.89	$26.30	$54.95
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $39.81 / $47.86	Professional		$38.02	$39.81	$47.86
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $10.47 / $12.59	Professional	26	$10.00	$10.47	$12.59
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $29.51 / $34.67	Professional	TC	$28.18	$29.51	$34.67

Texas rates for HCPCS 72040