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 $117.49 / $117.49 / $117.49	Facility	26	$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $478.63 / $1,096.48	Professional		$371.54	$478.63	$1,096.48
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $147.91 / $263.03	Professional	26	$87.10	$147.91	$263.03
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $354.81 / $794.33	Professional	TC	$263.03	$354.81	$794.33
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $512.86 / $1,288.25	Professional		$346.74	$512.86	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $123.03 / $281.84	Professional	26	$83.18	$123.03	$281.84
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $389.05 / $977.24	Professional	TC	$263.03	$389.05	$977.24
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $977.24 / $1,445.44	Professional		$467.74	$977.24	$1,445.44
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $123.03 / $251.19	Professional	26	$87.10	$123.03	$251.19
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $812.83 / $1,318.26	Professional	TC	$354.81	$812.83	$1,318.26
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $537.03 / $977.24	Professional		$416.87	$537.03	$977.24
Harvard Pilgrim Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $125.89 / $234.42	Professional	26	$100.00	$125.89	$234.42
Harvard Pilgrim Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $316.23 / $398.11 / $741.31	Professional	TC	$316.23	$398.11	$741.31
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11,748.98 / $11,748.98 / $11,748.98	Facility	26	$11,748.98	$11,748.98	$11,748.98
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $602.56 / $1,174.90	Professional		$371.54	$602.56	$1,174.90
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $141.25 / $234.42	Professional	26	$104.71	$141.25	$234.42
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $436.52 / $977.24	Professional	TC	$263.03	$436.52	$977.24
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $660.69 / $1,445.44	Professional		$338.84	$660.69	$1,445.44
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $128.82 / $346.74	Professional	26	$89.13	$128.82	$346.74
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $501.19 / $1,023.29	Professional	TC	$295.12	$501.19	$1,023.29

Maine rates for HCPCS 70549