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 Professional Modifier Typical Low / Median / Typical High $281.84 / $398.11 / $691.83	Professional		$281.84	$398.11	$691.83
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $112.20 / $204.17	Professional	26	$83.18	$112.20	$204.17
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $281.84 / $501.19	Professional	TC	$194.98	$281.84	$501.19
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $398.11 / $1,000.00	Professional		$269.15	$398.11	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $117.49 / $269.15	Professional	26	$79.43	$117.49	$269.15
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $275.42 / $707.95	Professional	TC	$190.55	$275.42	$707.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $660.69 / $977.24	Professional		$371.54	$660.69	$977.24
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $120.23 / $239.88	Professional	26	$83.18	$120.23	$239.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $524.81 / $831.76	Professional	TC	$263.03	$524.81	$831.76
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $407.38 / $776.25	Professional		$323.59	$407.38	$776.25
Harvard Pilgrim Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $120.23 / $229.09	Professional	26	$95.50	$120.23	$229.09
Harvard Pilgrim Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $229.09 / $288.40 / $537.03	Professional	TC	$229.09	$288.40	$537.03
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $524.81 / $1,023.29	Professional		$331.13	$524.81	$1,023.29
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $128.82 / $257.04	Professional	26	$85.11	$128.82	$257.04
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $229.09 / $354.81 / $758.58	Professional	TC	$229.09	$354.81	$758.58
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $524.81 / $1,023.29	Professional		$302.00	$524.81	$1,023.29
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $123.03 / $331.13	Professional	26	$85.11	$123.03	$331.13
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $363.08 / $691.83	Professional	TC	$223.87	$363.08	$691.83

Maine rates for HCPCS 72196