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 26 Typical Low / Median / Typical High $141.25 / $141.25 / $165.96	Facility	26	$141.25	$141.25	$165.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $478.63 / $1,202.26	Professional		$371.54	$478.63	$1,202.26
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $141.25 / $288.40	Professional	26	$102.33	$141.25	$288.40
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $346.74 / $870.96	Professional	TC	$257.04	$346.74	$870.96
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $501.19 / $1,258.93	Professional		$338.84	$501.19	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $147.91 / $331.13	Professional	26	$100.00	$147.91	$331.13
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $354.81 / $891.25	Professional	TC	$239.88	$354.81	$891.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $977.24 / $1,258.93	Professional		$467.74	$977.24	$1,258.93
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $147.91 / $302.00	Professional	26	$102.33	$147.91	$302.00
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $331.13 / $758.58 / $1,122.02	Professional	TC	$331.13	$758.58	$1,122.02
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $524.81 / $954.99	Professional		$407.38	$524.81	$954.99
Harvard Pilgrim Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $120.23 / $151.36 / $281.84	Professional	26	$120.23	$151.36	$281.84
Harvard Pilgrim Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $288.40 / $363.08 / $676.08	Professional	TC	$288.40	$363.08	$676.08
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14,125.38 / $14,125.38 / $14,125.38	Facility	26	$14,125.38	$14,125.38	$14,125.38
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $602.56 / $1,096.48	Professional		$371.54	$602.56	$1,096.48
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $158.49 / $257.04	Professional	26	$112.20	$158.49	$257.04
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $416.87 / $870.96	Professional	TC	$263.03	$416.87	$870.96
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $645.65 / $1,348.96	Professional		$338.84	$645.65	$1,348.96
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $154.88 / $416.87	Professional	26	$104.71	$154.88	$416.87
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $281.84 / $457.09 / $933.25	Professional	TC	$281.84	$457.09	$933.25

Maine rates for HCPCS 70543