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 $27.54 / $27.54 / $27.54	Facility	26	$27.54	$27.54	$27.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $87.10 / $371.54	Professional		$61.66	$87.10	$371.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $30.90 / $83.18	Professional	26	$25.70	$30.90	$83.18
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $165.96 / $295.12 / $741.31	Professional	50	$165.96	$295.12	$741.31
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $46.77 / $125.89	Professional	TC	$34.67	$46.77	$125.89
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $75.86 / $93.33	Professional		$34.67	$75.86	$93.33
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $30.90 / $38.02	Professional	26	$30.90	$30.90	$38.02
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $46.77 / $54.95	Professional	TC	$43.65	$46.77	$54.95
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Facility	26	$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $102.33 / $173.78	Professional		$60.26	$102.33	$173.78
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $38.02 / $69.18	Professional	26	$24.55	$38.02	$69.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $61.66 / $109.65	Professional	TC	$34.67	$61.66	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $93.33 / $158.49	Professional		$81.28	$93.33	$158.49
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $38.90 / $56.23	Professional	26	$33.88	$38.90	$56.23
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $56.23 / $102.33	Professional	TC	$47.86	$56.23	$102.33
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $97.72 / $194.98	Professional		$72.44	$97.72	$194.98
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $37.15 / $70.79	Professional	26	$26.30	$37.15	$70.79
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $63.10 / $120.23	Professional	TC	$45.71	$63.10	$120.23
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $100.00 / $117.49	Professional		$75.86	$100.00	$117.49
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $40.74 / $48.98	Professional	26	$31.62	$40.74	$48.98
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $60.26 / $70.79	Professional	TC	$43.65	$60.26	$70.79

Maryland rates for HCPCS 76513