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 $131.83 / $131.83 / $131.83	Facility	26	$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $741.31 / $1,479.11	Professional		$630.96	$741.31	$1,479.11
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $117.49 / $162.18 / $389.05	Professional	26	$117.49	$162.18	$389.05
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $645.65 / $645.65 / $645.65	Professional	52	$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $501.19 / $588.84 / $1,000.00	Professional	TC	$501.19	$588.84	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $724.44 / $1,348.96	Professional		$501.19	$724.44	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $134.90 / $251.19	Professional	26	$89.13	$134.90	$251.19
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $416.87 / $602.56 / $1,096.48	Professional	TC	$416.87	$602.56	$1,096.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $1,023.29 / $1,513.56	Professional		$758.58	$1,023.29	$1,513.56
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $138.04 / $208.93 / $295.12	Professional	26	$138.04	$208.93	$295.12
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $616.60 / $812.83 / $1,230.27	Professional	TC	$616.60	$812.83	$1,230.27
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $1,047.13 / $2,041.74	Professional		$741.31	$1,047.13	$2,041.74
Harvard Pilgrim Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $131.83 / $181.97 / $354.81	Professional	26	$131.83	$181.97	$354.81
Harvard Pilgrim Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $616.60 / $851.14 / $1,659.59	Professional	TC	$616.60	$851.14	$1,659.59
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $776.25 / $1,348.96	Professional		$645.65	$776.25	$1,348.96
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $144.54 / $239.88	Professional	26	$123.03	$144.54	$239.88
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $512.86 / $645.65 / $1,122.02	Professional	TC	$512.86	$645.65	$1,122.02
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $1,023.29 / $1,548.82	Professional		$741.31	$1,023.29	$1,548.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $131.83 / $186.21 / $275.42	Professional	26	$131.83	$186.21	$275.42
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $575.44 / $831.76 / $1,288.25	Professional	TC	$575.44	$831.76	$1,288.25

Maine rates for HCPCS 95811