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 Professional Modifier Typical Low / Median / Typical High $25.70 / $28.84 / $57.54	Professional		$25.70	$28.84	$57.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $23.99 / $28.18	Professional	26	$16.98	$23.99	$28.18
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.02 / $3.98 / $36.31	Professional	TC	$3.02	$3.98	$36.31
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $38.02 / $89.13	Professional		$30.20	$38.02	$89.13
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $32.36 / $79.43	Professional	26	$24.55	$32.36	$79.43
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.98 / $5.37 / $9.12	Professional	TC	$3.98	$5.37	$9.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $42.66 / $64.57	Professional		$30.20	$42.66	$64.57
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $31.62 / $56.23	Professional	26	$18.20	$31.62	$56.23
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $4.27 / $6.46 / $38.90	Professional	TC	$4.27	$6.46	$38.90
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $35.48 / $63.10	Professional		$23.44	$35.48	$63.10
Harvard Pilgrim Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $30.20 / $46.77	Professional	26	$19.95	$30.20	$46.77
Harvard Pilgrim Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.31 / $5.01 / $7.76	Professional	TC	$3.31	$5.01	$7.76
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $30.20 / $40.74	Professional		$25.12	$30.20	$40.74
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $23.99 / $26.92	Professional	26	$16.98	$23.99	$26.92
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1.00 / $3.98 / $26.92	Professional	TC	$1.00	$3.98	$26.92
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $35.48 / $54.95	Professional		$25.70	$35.48	$54.95
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $30.20 / $46.77	Professional	26	$21.88	$30.20	$46.77
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.24 / $4.79 / $7.76	Professional	TC	$3.24	$4.79	$7.76

Maine rates for HCPCS 92542