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 26 Typical Low / Median / Typical High $53.70 / $57.54 / $323.59	Facility	26	$53.70	$57.54	$323.59
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $208.93 / $512.86	Professional		$138.04	$208.93	$512.86
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $52.48 / $125.89	Professional	26	$41.69	$52.48	$125.89
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $120.23 / $316.23	Professional	TC	$81.28	$120.23	$316.23
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $190.55 / $478.63	Professional		$131.83	$190.55	$478.63
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $67.61 / $165.96	Professional	26	$46.77	$67.61	$165.96
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $123.03 / $316.23	Professional	TC	$85.11	$123.03	$316.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $302.00 / $588.84	Professional		$173.78	$302.00	$588.84
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $70.79 / $141.25	Professional	26	$52.48	$70.79	$141.25
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $218.78 / $398.11	Professional	TC	$114.82	$218.78	$398.11
Community Health Options Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $199.53 / $371.54	Professional		$158.49	$199.53	$371.54
Harvard Pilgrim Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $70.79 / $131.83	Professional	26	$56.23	$70.79	$131.83
Harvard Pilgrim Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $128.82 / $239.88	Professional	TC	$102.33	$128.82	$239.88
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $54.95 / $57.54 / $6,606.93	Facility	26	$54.95	$57.54	$6,606.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $223.87 / $457.09	Professional		$147.91	$223.87	$457.09
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $64.57 / $117.49	Professional	26	$46.77	$64.57	$117.49
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $144.54 / $316.23	Professional	TC	$100.00	$144.54	$316.23
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $251.19 / $501.19	Professional		$134.90	$251.19	$501.19
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $79.43 / $181.97	Professional	26	$50.12	$79.43	$181.97
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $162.18 / $302.00	Professional	TC	$102.33	$162.18	$302.00

Maine rates for HCPCS 72125