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 $66.07 / $85.11 / $151.36	Professional		$66.07	$85.11	$151.36
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $33.88 / $77.62	Professional	26	$25.70	$33.88	$77.62
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $52.48 / $89.13	Professional	TC	$39.81	$52.48	$89.13
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $114.82 / $158.49	Professional		$75.86	$114.82	$158.49
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $45.71 / $61.66	Professional	26	$30.90	$45.71	$61.66
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $66.07 / $95.50	Professional	TC	$44.67	$66.07	$95.50
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $109.65 / $186.21	Professional		$85.11	$109.65	$186.21
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 $47.86 / $67.61 / $131.83	Professional	TC	$47.86	$67.61	$131.83
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $120.23 / $229.09	Professional		$95.50	$120.23	$229.09
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 $57.54 / $72.44 / $134.90	Professional	TC	$57.54	$72.44	$134.90
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $95.50 / $190.55	Professional		$74.13	$95.50	$190.55
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $39.81 / $75.86	Professional	26	$28.84	$39.81	$75.86
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $56.23 / $112.20	Professional	TC	$43.65	$56.23	$112.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $112.20 / $223.87	Professional		$81.28	$112.20	$223.87
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 $47.86 / $63.10 / $123.03	Professional	TC	$47.86	$63.10	$123.03

Maine rates for HCPCS 74248