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 $154.88 / $512.86 / $707.95	Facility		$154.88	$512.86	$707.95
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $30.90 / $33.11 / $162.18	Facility	26	$30.90	$33.11	$162.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $131.83 / $229.09	Professional		$93.33	$131.83	$229.09
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $41.69 / $67.61	Professional	26	$21.88	$41.69	$67.61
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $43.65 / $102.33 / $107.15	Professional	52	$43.65	$102.33	$107.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $95.50 / $208.93	Professional	TC	$69.18	$95.50	$208.93
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $354.81 / $446.68 / $501.19	Facility		$354.81	$446.68	$501.19
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $154.88 / $223.87	Professional		$109.65	$154.88	$223.87
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $38.02 / $54.95	Professional	26	$26.30	$38.02	$54.95
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $117.49 / $169.82	Professional	TC	$81.28	$117.49	$169.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $158.49 / $281.84	Professional		$97.72	$158.49	$281.84
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $39.81 / $66.07	Professional	26	$24.55	$39.81	$66.07
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $120.23 / $213.80	Professional	TC	$72.44	$120.23	$213.80
Community Health Options Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Community Health Options Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $169.82 / $309.03	Professional		$125.89	$169.82	$309.03
Harvard Pilgrim Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $41.69 / $74.13	Professional	26	$30.90	$41.69	$74.13
Harvard Pilgrim Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $125.89 / $234.42	Professional	TC	$97.72	$125.89	$234.42
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $131.83 / $15,488.17	Facility		$128.82	$131.83	$15,488.17
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $30.90 / $31.62 / $3,715.35	Facility	26	$30.90	$31.62	$3,715.35
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $134.90 / $257.04	Professional		$100.00	$134.90	$257.04
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $33.88 / $64.57	Professional	26	$23.99	$33.88	$64.57
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $102.33 / $194.98	Professional	TC	$75.86	$102.33	$194.98
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $158.49 / $309.03	Professional		$100.00	$158.49	$309.03
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $40.74 / $95.50	Professional	26	$27.54	$40.74	$95.50
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $117.49 / $229.09	Professional	TC	$83.18	$117.49	$229.09

Maine rates for HCPCS 76536