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 $41.69 / $45.71 / $131.83	Facility	26	$41.69	$45.71	$131.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $123.03 / $223.87	Professional		$70.79	$123.03	$223.87
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $56.23 / $114.82	Professional	26	$30.90	$56.23	$114.82
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $54.95 / $114.82	Professional	TC	$38.90	$54.95	$114.82
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $123.03 / $177.83	Professional		$87.10	$123.03	$177.83
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $51.29 / $81.28	Professional	26	$36.31	$51.29	$81.28
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $70.79 / $100.00	Professional	TC	$48.98	$70.79	$100.00
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $128.82 / $208.93	Professional		$93.33	$128.82	$208.93
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $53.70 / $89.13	Professional	26	$33.88	$53.70	$89.13
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $74.13 / $120.23	Professional	TC	$57.54	$74.13	$120.23
Community Health Options Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $128.82 / $165.96	Professional		$93.33	$128.82	$165.96
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $134.90 / $245.47	Professional		$95.50	$134.90	$245.47
Harvard Pilgrim Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $56.23 / $104.71	Professional	26	$43.65	$56.23	$104.71
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 $43.65 / $43.65 / $5,248.07	Facility	26	$43.65	$43.65	$5,248.07
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $102.33 / $199.53	Professional		$77.62	$102.33	$199.53
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $44.67 / $85.11	Professional	26	$33.11	$44.67	$85.11
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $60.26 / $114.82	Professional	TC	$43.65	$60.26	$114.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $123.03 / $223.87	Professional		$85.11	$123.03	$223.87
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $56.23 / $104.71	Professional	26	$38.02	$56.23	$104.71
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $69.18 / $123.03	Professional	TC	$48.98	$69.18	$123.03

Maine rates for HCPCS 76819