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 Typical Low / Median / Typical High $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.05 / $19.05 / $19.50	Facility	26	$19.05	$19.05	$19.50
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $89.13 / $223.87	Professional		$66.07	$89.13	$223.87
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $19.05 / $45.71	Professional	26	$15.85	$19.05	$45.71
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $54.95 / $147.91	Professional	TC	$46.77	$54.95	$147.91
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $74.13 / $138.04	Professional		$61.66	$74.13	$138.04
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $19.95 / $36.31	Professional	26	$16.98	$19.95	$36.31
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $53.70 / $93.33	Professional	TC	$44.67	$53.70	$93.33
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $114.82 / $190.55	Professional		$74.13	$114.82	$190.55
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $25.70 / $40.74	Professional	26	$20.42	$25.70	$40.74
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $85.11 / $162.18	Professional	TC	$52.48	$85.11	$162.18
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $100.00 / $194.98	Professional		$70.79	$100.00	$194.98
Harvard Pilgrim Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $26.30 / $51.29	Professional	26	$19.05	$26.30	$51.29
Harvard Pilgrim Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $72.44 / $141.25	Professional	TC	$52.48	$72.44	$141.25
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $87.10 / $177.83	Professional		$66.07	$87.10	$177.83
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $19.50 / $28.18	Professional	26	$16.60	$19.50	$28.18
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $64.57 / $158.49	Professional	TC	$48.98	$64.57	$158.49
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $123.03 / $208.93	Professional		$74.13	$123.03	$208.93
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $26.92 / $41.69	Professional	26	$19.05	$26.92	$41.69
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $93.33 / $169.82	Professional	TC	$52.48	$93.33	$169.82

Maine rates for HCPCS 95930