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 26 Typical Low / Median / Typical High $37.15 / $46.77 / $114.82	Facility	26	$37.15	$46.77	$114.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $117.49 / $199.53	Professional		$69.18	$117.49	$199.53
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $48.98 / $77.62	Professional	26	$26.30	$48.98	$77.62
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $58.88 / $125.89	Professional	TC	$40.74	$58.88	$125.89
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $114.82 / $181.97	Professional		$81.28	$114.82	$181.97
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $43.65 / $63.10	Professional	26	$30.90	$43.65	$63.10
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $70.79 / $117.49	Professional	TC	$51.29	$70.79	$117.49
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 $28.18 / $45.71 / $74.13	Professional	26	$28.18	$45.71	$74.13
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $79.43 / $128.82	Professional	TC	$56.23	$79.43	$128.82
Community Health Options Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $131.83 / $162.18	Professional		$93.33	$131.83	$162.18
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $128.82 / $234.42	Professional		$89.13	$128.82	$234.42
Harvard Pilgrim Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $46.77 / $87.10	Professional	26	$36.31	$46.77	$87.10
Harvard Pilgrim Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $79.43 / $144.54	Professional	TC	$60.26	$79.43	$144.54
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $36.31 / $37.15 / $4,365.16	Facility	26	$36.31	$37.15	$4,365.16
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $100.00 / $186.21	Professional		$75.86	$100.00	$186.21
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $38.02 / $67.61	Professional	26	$28.18	$38.02	$67.61
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $63.10 / $114.82	Professional	TC	$45.71	$63.10	$114.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $117.49 / $229.09	Professional		$79.43	$117.49	$229.09
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $46.77 / $95.50	Professional	26	$31.62	$46.77	$95.50
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $72.44 / $123.03	Professional	TC	$50.12	$72.44	$123.03

Maine rates for HCPCS 76815