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 Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $28.18 / $28.18 / $28.18	Facility	26	$28.18	$28.18	$28.18
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $22.91 / $22.91 / $22.91	Facility	TC	$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $69.18 / $120.23	Professional		$33.88	$69.18	$120.23
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $25.12 / $52.48	Professional	26	$19.95	$25.12	$52.48
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $77.62 / $77.62 / $77.62	Professional	50	$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $26.92 / $26.92 / $26.92	Professional	52	$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $50.12 / $97.72	Professional	TC	$15.49	$50.12	$97.72
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $45.71 / $85.11	Professional		$33.11	$45.71	$85.11
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $25.12 / $38.90	Professional	26	$17.78	$25.12	$38.90
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $48.98 / $67.61 / $104.71	Professional	50	$48.98	$67.61	$104.71
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $19.95 / $37.15	Professional	TC	$15.14	$19.95	$37.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $79.43 / $123.03	Professional		$43.65	$79.43	$123.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $28.84 / $58.88	Professional	26	$21.38	$28.84	$58.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $46.77 / $85.11	Professional	TC	$20.42	$46.77	$85.11
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $54.95 / $104.71	Professional		$25.12	$54.95	$104.71
Harvard Pilgrim Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $33.11 / $57.54	Professional	26	$24.55	$33.11	$57.54
Harvard Pilgrim Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $26.92 / $52.48	Professional	TC	$19.95	$26.92	$52.48
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,248.07 / $5,248.07 / $5,248.07	Facility		$5,248.07	$5,248.07	$5,248.07
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2,884.03 / $2,884.03 / $2,884.03	Facility	26	$2,884.03	$2,884.03	$2,884.03
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $2,344.23 / $2,344.23 / $2,344.23	Facility	TC	$2,344.23	$2,344.23	$2,344.23
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $51.29 / $114.82	Professional		$38.90	$51.29	$114.82
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $24.55 / $45.71	Professional	26	$20.42	$24.55	$45.71
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $26.30 / $67.61	Professional	TC	$16.98	$26.30	$67.61
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $64.57 / $123.03	Professional		$44.67	$64.57	$123.03
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $30.90 / $44.67	Professional	26	$21.88	$30.90	$44.67
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $32.36 / $72.44	Professional	TC	$20.89	$32.36	$72.44

Maine rates for HCPCS 92250