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 $47.86 / $47.86 / $47.86	Facility	26	$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $109.65 / $213.80	Professional		$83.18	$109.65	$213.80
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $40.74 / $107.15	Professional	26	$28.84	$40.74	$107.15
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $46.77 / $158.49 / $281.84	Professional	50	$46.77	$158.49	$281.84
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $72.44 / $151.36	Professional	TC	$54.95	$72.44	$151.36
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $144.54 / $208.93	Professional		$100.00	$144.54	$208.93
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $48.98 / $70.79	Professional	26	$33.88	$48.98	$70.79
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $151.36 / $218.78 / $316.23	Professional	50	$151.36	$218.78	$316.23
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $95.50 / $138.04	Professional	TC	$66.07	$95.50	$138.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $147.91 / $245.47	Professional		$104.71	$147.91	$245.47
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $50.12 / $83.18	Professional	26	$34.67	$50.12	$83.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $97.72 / $165.96	Professional	TC	$61.66	$97.72	$165.96
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $151.36 / $281.84	Professional		$109.65	$151.36	$281.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $51.29 / $95.50	Professional	26	$39.81	$51.29	$95.50
Harvard Pilgrim Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $107.15 / $190.55	Professional	TC	$77.62	$107.15	$190.55
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $41.69 / $43.65 / $4,786.30	Facility	26	$41.69	$43.65	$4,786.30
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $123.03 / $245.47	Professional		$89.13	$123.03	$245.47
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $41.69 / $81.28	Professional	26	$30.90	$41.69	$81.28
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $79.43 / $158.49	Professional	TC	$58.88	$79.43	$158.49
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $144.54 / $281.84	Professional		$97.72	$144.54	$281.84
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $53.70 / $102.33	Professional	26	$34.67	$53.70	$102.33
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $95.50 / $162.18	Professional	TC	$64.57	$95.50	$162.18

Maine rates for HCPCS 76641