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 $36.31 / $42.66 / $83.18	Professional		$36.31	$42.66	$83.18
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $12.88 / $26.92	Professional	26	$10.96	$12.88	$26.92
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $29.51 / $50.12	Professional	TC	$25.12	$29.51	$50.12
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $67.61 / $104.71	Professional		$43.65	$67.61	$104.71
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $18.20 / $28.84	Professional	26	$12.30	$18.20	$28.84
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $47.86 / $77.62	Professional	TC	$30.90	$47.86	$77.62
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $61.66 / $100.00	Professional		$45.71	$61.66	$100.00
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $17.38 / $27.54	Professional	26	$13.18	$17.38	$27.54
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $42.66 / $70.79	Professional	TC	$31.62	$42.66	$70.79
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $81.28 / $138.04	Professional		$56.23	$81.28	$138.04
Harvard Pilgrim Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $20.89 / $35.48	Professional	26	$14.79	$20.89	$35.48
Harvard Pilgrim Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $60.26 / $102.33	Professional	TC	$41.69	$60.26	$102.33
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $43.65 / $83.18	Professional		$36.31	$43.65	$83.18
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $12.88 / $19.95	Professional	26	$10.96	$12.88	$19.95
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $30.20 / $63.10	Professional	TC	$25.12	$30.20	$63.10
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $60.26 / $131.83	Professional		$41.69	$60.26	$131.83
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $17.38 / $33.11	Professional	26	$12.88	$17.38	$33.11
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $44.67 / $85.11	Professional	TC	$28.18	$44.67	$85.11

Maine rates for HCPCS 94728