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 $91.20 / $91.20 / $91.20	Facility	26	$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $467.74 / $933.25	Professional		$380.19	$467.74	$933.25
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $100.00 / $245.47	Professional	26	$79.43	$100.00	$245.47
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $363.08 / $630.96	Professional	TC	$295.12	$363.08	$630.96
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $489.78 / $851.14	Professional		$416.87	$489.78	$851.14
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $93.33 / $158.49	Professional	26	$81.28	$93.33	$158.49
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $338.84 / $398.11 / $691.83	Professional	TC	$338.84	$398.11	$691.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $575.44 / $1,023.29	Professional		$275.42	$575.44	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $120.23 / $190.55	Professional	26	$95.50	$120.23	$190.55
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $467.74 / $831.76	Professional	TC	$177.83	$467.74	$831.76
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $707.95 / $1,380.38	Professional		$501.19	$707.95	$1,380.38
Harvard Pilgrim Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $131.83 / $251.19	Professional	26	$93.33	$131.83	$251.19
Harvard Pilgrim Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $416.87 / $575.44 / $1,122.02	Professional	TC	$416.87	$575.44	$1,122.02
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $467.74 / $912.01	Professional		$371.54	$467.74	$912.01
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $97.72 / $177.83	Professional	26	$81.28	$97.72	$177.83
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $281.84 / $371.54 / $707.95	Professional	TC	$281.84	$371.54	$707.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $630.96 / $1,047.13	Professional		$398.11	$630.96	$1,047.13
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $131.83 / $194.98	Professional	26	$89.13	$131.83	$194.98
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $501.19 / $851.14	Professional	TC	$295.12	$501.19	$851.14

Maine rates for HCPCS 95813