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 $37.15 / $57.54 / $57.54	Facility	26	$37.15	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $147.91 / $251.19	Professional		$112.20	$147.91	$251.19
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $50.12 / $295.12	Professional	26	$30.90	$50.12	$295.12
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $112.20 / $218.78	Professional	TC	$83.18	$112.20	$218.78
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $186.21 / $288.40	Professional		$67.61	$186.21	$288.40
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $41.69 / $69.18	Professional	26	$16.22	$41.69	$69.18
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $134.90 / $223.87	Professional	TC	$51.29	$134.90	$223.87
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $144.54 / $223.87	Professional		$70.79	$144.54	$223.87
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $41.69 / $104.71	Professional	26	$27.54	$41.69	$104.71
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $128.82 / $234.42	Professional	TC	$54.95	$128.82	$234.42
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $251.19 / $446.68	Professional		$208.93	$251.19	$446.68
Harvard Pilgrim Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $60.26 / $107.15	Professional	26	$50.12	$60.26	$107.15
Harvard Pilgrim Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $158.49 / $190.55 / $338.84	Professional	TC	$158.49	$190.55	$338.84
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5,754.40 / $5,754.40 / $5,754.40	Facility	26	$5,754.40	$5,754.40	$5,754.40
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $165.96 / $380.19	Professional		$131.83	$165.96	$380.19
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $50.12 / $102.33	Professional	26	$33.11	$50.12	$102.33
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $114.82 / $288.40	Professional	TC	$91.20	$114.82	$288.40
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $239.88 / $478.63	Professional		$154.88	$239.88	$478.63
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $61.66 / $89.13	Professional	26	$38.90	$61.66	$89.13
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $177.83 / $363.08	Professional	TC	$112.20	$177.83	$363.08

Maine rates for HCPCS 88365