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 $20.89 / $20.89 / $20.89	Facility	26	$20.89	$20.89	$20.89
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $63.10 / $128.82	Professional		$46.77	$63.10	$128.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $16.98 / $37.15	Professional	26	$12.02	$16.98	$37.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $48.98 / $114.82	Professional	TC	$32.36	$48.98	$114.82
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $81.28 / $117.49	Professional		$57.54	$81.28	$117.49
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $19.95 / $29.51	Professional	26	$13.18	$19.95	$29.51
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $58.88 / $89.13	Professional	TC	$43.65	$58.88	$89.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $81.28 / $154.88	Professional		$58.88	$81.28	$154.88
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $21.88 / $42.66	Professional	26	$17.38	$21.88	$42.66
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $60.26 / $117.49	Professional	TC	$40.74	$60.26	$117.49
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $93.33 / $173.78	Professional		$74.13	$93.33	$173.78
Harvard Pilgrim Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $22.39 / $41.69	Professional	26	$17.78	$22.39	$41.69
Harvard Pilgrim Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $70.79 / $134.90	Professional	TC	$56.23	$70.79	$134.90
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2,089.30 / $2,089.30 / $2,089.30	Facility	26	$2,089.30	$2,089.30	$2,089.30
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $74.13 / $134.90	Professional		$53.70	$74.13	$134.90
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $18.62 / $34.67	Professional	26	$14.13	$18.62	$34.67
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $56.23 / $100.00	Professional	TC	$39.81	$56.23	$100.00
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $89.13 / $173.78	Professional		$60.26	$89.13	$173.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $25.12 / $89.13	Professional	26	$16.22	$25.12	$89.13
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $67.61 / $117.49	Professional	TC	$43.65	$67.61	$117.49

Maine rates for HCPCS 73523