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 $60.26 / $60.26 / $60.26	Facility	26	$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $407.38 / $741.31	Professional		$323.59	$407.38	$741.31
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $66.07 / $158.49	Professional	26	$51.29	$66.07	$158.49
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $338.84 / $588.84	Professional	TC	$263.03	$338.84	$588.84
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $436.52 / $758.58	Professional		$363.08	$436.52	$758.58
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $61.66 / $107.15	Professional	26	$53.70	$61.66	$107.15
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $316.23 / $380.19 / $645.65	Professional	TC	$316.23	$380.19	$645.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $512.86 / $891.25	Professional		$177.83	$512.86	$891.25
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $79.43 / $125.89	Professional	26	$63.10	$79.43	$125.89
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $446.68 / $758.58	Professional	TC	$112.20	$446.68	$758.58
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $602.56 / $1,174.90	Professional		$436.52	$602.56	$1,174.90
Harvard Pilgrim Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $83.18 / $162.18	Professional	26	$58.88	$83.18	$162.18
Harvard Pilgrim Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $380.19 / $524.81 / $1,023.29	Professional	TC	$380.19	$524.81	$1,023.29
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $416.87 / $724.44	Professional		$309.03	$416.87	$724.44
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $64.57 / $102.33	Professional	26	$51.29	$64.57	$102.33
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $354.81 / $616.60	Professional	TC	$251.19	$354.81	$616.60
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $549.54 / $912.01	Professional		$354.81	$549.54	$912.01
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $81.28 / $125.89	Professional	26	$58.88	$81.28	$125.89
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $281.84 / $457.09 / $794.33	Professional	TC	$281.84	$457.09	$794.33

Maine rates for HCPCS 95816