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 $39.81 / $39.81 / $39.81	Facility	26	$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $114.82 / $199.53	Professional		$89.13	$114.82	$199.53
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $34.67 / $77.62	Professional	26	$26.92	$34.67	$77.62
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $79.43 / $144.54	Professional	TC	$61.66	$79.43	$144.54
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $151.36 / $208.93	Professional		$100.00	$151.36	$208.93
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $45.71 / $61.66	Professional	26	$29.51	$45.71	$61.66
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $102.33 / $147.91	Professional	TC	$72.44	$102.33	$147.91
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $147.91 / $245.47	Professional		$112.20	$147.91	$245.47
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $46.77 / $83.18	Professional	26	$37.15	$46.77	$83.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $104.71 / $204.17	Professional	TC	$74.13	$104.71	$204.17
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $162.18 / $302.00	Professional		$128.82	$162.18	$302.00
Harvard Pilgrim Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $48.98 / $91.20	Professional	26	$38.90	$48.98	$91.20
Harvard Pilgrim Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $112.20 / $208.93	Professional	TC	$89.13	$112.20	$208.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $128.82 / $245.47	Professional		$100.00	$128.82	$245.47
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $40.74 / $75.86	Professional	26	$28.84	$40.74	$75.86
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $89.13 / $173.78	Professional	TC	$69.18	$89.13	$173.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $151.36 / $645.65	Professional		$100.00	$151.36	$645.65
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $50.12 / $134.90	Professional	26	$34.67	$50.12	$134.90
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $97.72 / $190.55	Professional	TC	$74.13	$97.72	$190.55

Maine rates for HCPCS 74221