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 Facility Modifier Typical Low / Median / Typical High $630.96 / $630.96 / $660.69	Facility		$630.96	$630.96	$660.69
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $18.62 / $18.62 / $18.62	Facility	26	$18.62	$18.62	$18.62
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $117.49 / $213.80	Professional		$66.07	$117.49	$213.80
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $18.20 / $42.66	Professional	26	$12.02	$18.20	$42.66
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $91.20 / $158.49	Professional	TC	$52.48	$91.20	$158.49
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $398.11 / $436.52	Facility		$316.23	$398.11	$436.52
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $138.04 / $199.53	Professional		$77.62	$138.04	$199.53
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $21.88 / $30.90	Professional	26	$10.23	$21.88	$30.90
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $112.20 / $169.82	Professional	TC	$67.61	$112.20	$169.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $138.04 / $269.15	Professional		$85.11	$138.04	$269.15
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $23.44 / $43.65	Professional	26	$16.22	$23.44	$43.65
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $112.20 / $229.09	Professional	TC	$67.61	$112.20	$229.09
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 $19.05 / $23.99 / $44.67	Professional	26	$19.05	$23.99	$44.67
Harvard Pilgrim Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $138.04 / $257.04	Professional	TC	$109.65	$138.04	$257.04
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $120.23 / $234.42	Professional		$87.10	$120.23	$234.42
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $19.05 / $38.90	Professional	26	$12.88	$19.05	$38.90
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $100.00 / $194.98	Professional	TC	$74.13	$100.00	$194.98
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $131.83 / $295.12	Professional		$95.50	$131.83	$295.12
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $23.44 / $61.66	Professional	26	$16.22	$23.44	$61.66
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $112.20 / $199.53	Professional	TC	$81.28	$112.20	$199.53

Maine rates for HCPCS 74455