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 $102.33 / $371.54 / $562.34	Facility		$102.33	$371.54	$562.34
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.02 / $131.83 / $316.23	Facility	26	$38.02	$131.83	$316.23
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $91.20 / $204.17	Professional		$58.88	$91.20	$204.17
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $38.90 / $81.28	Professional	26	$26.92	$38.90	$81.28
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $48.98 / $114.82 / $281.84	Professional	50	$48.98	$114.82	$281.84
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $57.54 / $131.83	Professional	TC	$42.66	$57.54	$131.83
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $245.47 / $302.00 / $338.84	Facility		$245.47	$302.00	$338.84
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $120.23 / $169.82	Professional		$83.18	$120.23	$169.82
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $45.71 / $66.07	Professional	26	$31.62	$45.71	$66.07
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $125.89 / $181.97 / $257.04	Professional	50	$125.89	$181.97	$257.04
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $74.13 / $104.71	Professional	TC	$52.48	$74.13	$104.71
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $123.03 / $204.17	Professional		$87.10	$123.03	$204.17
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $46.77 / $77.62	Professional	26	$32.36	$46.77	$77.62
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $75.86 / $128.82	Professional	TC	$46.77	$75.86	$128.82
Community Health Options Facility/Professional Facility Modifier Typical Low / Median / Typical High $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Community Health Options Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $114.82 / $181.97	Professional		$74.13	$114.82	$181.97
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $128.82 / $239.88	Professional		$91.20	$128.82	$239.88
Harvard Pilgrim Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $47.86 / $89.13	Professional	26	$37.15	$47.86	$89.13
Harvard Pilgrim Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $81.28 / $147.91	Professional	TC	$61.66	$81.28	$147.91
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $97.72 / $100.00 / $11,748.98	Facility		$97.72	$100.00	$11,748.98
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $37.15 / $38.02 / $4,466.84	Facility	26	$37.15	$38.02	$4,466.84
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $102.33 / $194.98	Professional		$77.62	$102.33	$194.98
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $39.81 / $75.86	Professional	26	$30.20	$39.81	$75.86
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $63.10 / $123.03	Professional	TC	$45.71	$63.10	$123.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $120.23 / $234.42	Professional		$85.11	$120.23	$234.42
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $51.29 / $95.50	Professional	26	$33.11	$51.29	$95.50
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $75.86 / $147.91	Professional	TC	$52.48	$75.86	$147.91

Maine rates for HCPCS 76642