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. Small sample — interpret with caution. 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 $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $47.86 / $47.86 / $47.86	Facility	26	$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $102.33 / $251.19	Professional		$66.07	$102.33	$251.19
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $47.86 / $102.33	Professional	26	$34.67	$47.86	$102.33
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $39.81 / $147.91	Professional	TC	$28.18	$39.81	$147.91
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $74.13 / $134.90	Professional		$61.66	$74.13	$134.90
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $42.66 / $77.62	Professional	26	$36.31	$42.66	$77.62
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $32.36 / $58.88	Professional	TC	$26.92	$32.36	$58.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $144.54 / $281.84	Professional		$81.28	$144.54	$281.84
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $81.28 / $114.82	Professional	26	$45.71	$81.28	$114.82
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $63.10 / $181.97	Professional	TC	$35.48	$63.10	$181.97
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $95.50 / $190.55	Professional		$47.86	$95.50	$190.55
Harvard Pilgrim Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $54.95 / $104.71	Professional	26	$38.90	$54.95	$104.71
Harvard Pilgrim Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $42.66 / $91.20	Professional	TC	$30.90	$42.66	$91.20
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $100.00 / $288.40	Professional		$70.79	$100.00	$288.40
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $54.95 / $109.65	Professional	26	$38.90	$54.95	$109.65
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $41.69 / $169.82	Professional	TC	$30.90	$41.69	$169.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $128.82 / $263.03	Professional		$75.86	$128.82	$263.03
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $69.18 / $109.65	Professional	26	$41.69	$69.18	$109.65
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $56.23 / $158.49	Professional	TC	$32.36	$56.23	$158.49

Maine rates for HCPCS 51784