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 $51.29 / $58.88 / $58.88	Facility	26	$51.29	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $144.54 / $239.88	Professional		$100.00	$144.54	$239.88
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $56.23 / $93.33	Professional	26	$30.20	$56.23	$93.33
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $102.33 / $169.82	Professional	TC	$74.13	$102.33	$169.82
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $194.98 / $263.03	Professional		$128.82	$194.98	$263.03
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $53.70 / $79.43	Professional	26	$37.15	$53.70	$79.43
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $134.90 / $186.21	Professional	TC	$91.20	$134.90	$186.21
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $186.21 / $363.08	Professional		$112.20	$186.21	$363.08
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $56.23 / $120.23	Professional	26	$33.11	$56.23	$120.23
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $128.82 / $257.04	Professional	TC	$77.62	$128.82	$257.04
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $204.17 / $380.19	Professional		$158.49	$204.17	$380.19
Harvard Pilgrim Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $63.10 / $117.49	Professional	26	$50.12	$63.10	$117.49
Harvard Pilgrim Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $141.25 / $263.03	Professional	TC	$112.20	$141.25	$263.03
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5,888.44 / $5,888.44 / $5,888.44	Facility	26	$5,888.44	$5,888.44	$5,888.44
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $165.96 / $309.03	Professional		$117.49	$165.96	$309.03
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $52.48 / $91.20	Professional	26	$32.36	$52.48	$91.20
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $114.82 / $208.93	Professional	TC	$81.28	$114.82	$208.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $177.83 / $380.19	Professional		$109.65	$177.83	$380.19
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $54.95 / $162.18	Professional	26	$41.69	$54.95	$162.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $123.03 / $245.47	Professional	TC	$95.50	$123.03	$245.47

Maine rates for HCPCS 74246