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 $9.12 / $9.12 / $9.12	Facility	26	$9.12	$9.12	$9.12
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $27.54 / $56.23	Professional		$16.98	$27.54	$56.23
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.03 / $8.91 / $19.50	Professional	26	$6.03	$8.91	$19.50
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.96 / $16.98 / $37.15	Professional	TC	$10.96	$16.98	$37.15
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $34.67 / $46.77	Professional		$21.88	$34.67	$46.77
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $10.72 / $14.79	Professional	26	$6.76	$10.72	$14.79
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $23.44 / $31.62	Professional	TC	$15.49	$23.44	$31.62
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $33.11 / $61.66	Professional		$22.91	$33.11	$61.66
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.24 / $10.96 / $21.88	Professional	26	$7.24	$10.96	$21.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $22.39 / $41.69	Professional	TC	$15.49	$22.39	$41.69
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $36.31 / $67.61	Professional		$28.18	$36.31	$67.61
Harvard Pilgrim Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $11.48 / $21.88	Professional	26	$9.33	$11.48	$21.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $24.55 / $45.71	Professional	TC	$19.50	$24.55	$45.71
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.12 / $9.12 / $9.77	Facility	26	$9.12	$9.12	$9.77
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $29.51 / $54.95	Professional		$20.89	$29.51	$54.95
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $9.77 / $18.20	Professional	26	$6.61	$9.77	$18.20
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $19.95 / $36.31	Professional	TC	$14.13	$19.95	$36.31
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $31.62 / $63.10	Professional		$24.55	$31.62	$63.10
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $11.75 / $45.71	Professional	26	$7.94	$11.75	$45.71
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $20.89 / $38.02	Professional	TC	$16.22	$20.89	$38.02

Maine rates for HCPCS 72020