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 $25.70 / $25.70 / $25.70	Facility	26	$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $75.86 / $194.98	Professional		$53.70	$75.86	$194.98
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $30.20 / $81.28	Professional	26	$21.88	$30.20	$81.28
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $489.78 / $489.78 / $489.78	Professional	50	$489.78	$489.78	$489.78
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $38.90 / $93.33	Professional	TC	$28.84	$38.90	$93.33
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $69.18 / $83.18	Professional		$28.84	$69.18	$83.18
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $32.36 / $36.31	Professional	26	$28.84	$32.36	$36.31
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $43.65 / $54.95	Professional	TC	$38.90	$43.65	$54.95
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $48.98 / $48.98 / $48.98	Facility	26	$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $87.10 / $147.91	Professional		$53.70	$87.10	$147.91
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $33.88 / $60.26	Professional	26	$21.88	$33.88	$60.26
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $51.29 / $89.13	Professional	TC	$30.90	$51.29	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $85.11 / $125.89	Professional		$74.13	$85.11	$125.89
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $35.48 / $50.12	Professional	26	$30.90	$35.48	$50.12
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $50.12 / $74.13	Professional	TC	$42.66	$50.12	$74.13
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $77.62 / $147.91	Professional		$57.54	$77.62	$147.91
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $31.62 / $64.57	Professional	26	$22.91	$31.62	$64.57
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $46.77 / $87.10	Professional	TC	$31.62	$46.77	$87.10
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $91.20 / $107.15	Professional		$67.61	$91.20	$107.15
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $38.02 / $45.71	Professional	26	$28.84	$38.02	$45.71
Wellpoint Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $53.70 / $63.10	Professional	TC	$38.02	$53.70	$63.10

Maryland rates for HCPCS 76519