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 $47.86 / $229.09 / $467.74	Facility		$47.86	$229.09	$467.74
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.30 / $14.13 / $30.90	Facility	26	$12.30	$14.13	$30.90
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $35.48 / $91.20 / $512.86	Facility	TC	$35.48	$91.20	$512.86
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $54.95 / $173.78	Professional		$33.88	$54.95	$173.78
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $17.38 / $50.12	Professional	26	$8.91	$17.38	$50.12
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $41.69 / $107.15	Professional	TC	$22.91	$41.69	$107.15
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $56.23 / $87.10	Professional		$31.62	$56.23	$87.10
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $17.38 / $19.50	Professional	26	$7.94	$17.38	$19.50
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $52.48 / $67.61	Professional	TC	$25.12	$52.48	$67.61
Asuris Northwest Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $251.19 / $489.78	Facility		$151.36	$251.19	$489.78
Asuris Northwest Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Facility	26	$158.49	$158.49	$158.49
Asuris Northwest Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Facility	TC	$158.49	$158.49	$158.49
Asuris Northwest Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $81.28 / $117.49	Professional		$54.95	$81.28	$117.49
Asuris Northwest Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $22.91 / $31.62	Professional	26	$15.14	$22.91	$31.62
Asuris Northwest Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $60.26 / $87.10	Professional	TC	$39.81	$60.26	$87.10
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $309.03 / $371.54	Facility		$165.96	$309.03	$371.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $61.66 / $120.23	Professional		$33.88	$61.66	$120.23
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $17.78 / $31.62	Professional	26	$9.77	$17.78	$31.62
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $43.65 / $89.13	Professional	TC	$23.99	$43.65	$89.13
Kaiser Permanente Facility/Professional Facility Modifier Typical Low / Median / Typical High $39.81 / $72.44 / $128.82	Facility		$39.81	$72.44	$128.82
Kaiser Permanente Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.02 / $20.89 / $165.96	Facility	26	$12.02	$20.89	$165.96
Kaiser Permanente Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $27.54 / $47.86 / $165.96	Facility	TC	$27.54	$47.86	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $66.07 / $102.33	Professional		$35.48	$66.07	$102.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $19.50 / $27.54	Professional	26	$10.72	$19.50	$27.54
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $45.71 / $77.62	Professional	TC	$23.44	$45.71	$77.62
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $32.36 / $33.11	Professional		$19.50	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $47.86 / $77.62	Facility		$19.50	$47.86	$77.62
Pacific Source Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $23.44 / $44.67	Professional		$13.49	$23.44	$44.67
Premera BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $53.70 / $53.70 / $54.95	Facility		$53.70	$53.70	$54.95
Premera BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.45 / $14.45 / $14.45	Facility	26	$14.45	$14.45	$14.45
Premera BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $38.90 / $38.90 / $39.81	Facility	TC	$38.90	$38.90	$39.81
Premera BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $79.43 / $114.82	Professional		$54.95	$79.43	$114.82
Premera BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $22.39 / $30.90	Professional	26	$14.45	$22.39	$30.90
Premera BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $60.26 / $85.11	Professional	TC	$39.81	$60.26	$85.11
Regence BlueShield Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $239.88 / $489.78	Facility		$125.89	$239.88	$489.78
Regence BlueShield Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Facility	26	$158.49	$158.49	$158.49
Regence BlueShield Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Facility	TC	$158.49	$158.49	$158.49
Regence BlueShield Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $79.43 / $114.82	Professional		$54.95	$79.43	$114.82
Regence BlueShield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $22.39 / $30.90	Professional	26	$14.79	$22.39	$30.90
Regence BlueShield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $57.54 / $83.18	Professional	TC	$39.81	$57.54	$83.18
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $295.12 / $524.81	Facility		$41.69	$295.12	$524.81
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $46.77 / $104.71	Professional		$33.11	$46.77	$104.71
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $13.18 / $32.36	Professional	26	$10.96	$13.18	$32.36
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $32.36 / $74.13	Professional	TC	$21.88	$32.36	$74.13
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $47.86 / $89.13	Professional		$46.77	$47.86	$89.13
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $12.02 / $21.38	Professional	26	$11.22	$12.02	$21.38
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $36.31 / $67.61	Professional	TC	$35.48	$36.31	$67.61

Washington rates for HCPCS 72040