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 $56.23 / $363.08 / $616.60	Facility		$56.23	$363.08	$616.60
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.30 / $13.49 / $60.26	Facility	26	$12.30	$13.49	$60.26
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $33.88 / $112.20 / $436.52	Facility	TC	$33.88	$112.20	$436.52
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $54.95 / $93.33	Professional		$32.36	$54.95	$93.33
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $14.13 / $28.84	Professional	26	$9.55	$14.13	$28.84
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $33.11 / $67.61	Professional	TC	$22.91	$33.11	$67.61
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $117.49 / $147.91 / $162.18	Facility		$117.49	$147.91	$162.18
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $56.23 / $75.86	Professional		$35.48	$56.23	$75.86
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $15.14 / $20.42	Professional	26	$9.33	$15.14	$20.42
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $38.02 / $56.23	Professional	TC	$26.30	$38.02	$56.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $54.95 / $100.00	Professional		$37.15	$54.95	$100.00
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $16.22 / $30.20	Professional	26	$10.23	$16.22	$30.20
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $38.90 / $72.44	Professional	TC	$25.70	$38.90	$72.44
Community Health Options Facility/Professional Facility Modifier Typical Low / Median / Typical High $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Community Health Options Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $60.26 / $114.82	Professional		$46.77	$60.26	$114.82
Harvard Pilgrim Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $15.49 / $29.51	Professional	26	$12.59	$15.49	$29.51
Harvard Pilgrim Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $44.67 / $85.11	Professional	TC	$36.31	$44.67	$85.11
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $42.66 / $47.86 / $5,754.40	Facility		$42.66	$47.86	$5,754.40
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.59 / $12.88 / $1,513.56	Facility	26	$12.59	$12.88	$1,513.56
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $30.20 / $35.48 / $4,265.80	Facility	TC	$30.20	$35.48	$4,265.80
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $48.98 / $89.13	Professional		$36.31	$48.98	$89.13
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $13.80 / $25.12	Professional	26	$10.00	$13.80	$25.12
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $35.48 / $66.07	Professional	TC	$25.70	$35.48	$66.07
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $57.54 / $112.20	Professional		$39.81	$57.54	$112.20
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $16.60 / $70.79	Professional	26	$11.22	$16.60	$70.79
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $38.90 / $95.50	Professional	TC	$26.92	$38.90	$95.50

Maine rates for HCPCS 72100