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 $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $173.78 / $338.84	Professional		$131.83	$173.78	$338.84
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $134.90 / $165.96 / $346.74	Professional	25	$134.90	$165.96	$346.74
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $177.83 / $331.13	Professional		$120.23	$177.83	$331.13
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $302.00 / $524.81	Professional		$181.97	$302.00	$524.81
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $186.21 / $323.59	Professional		$131.83	$186.21	$323.59
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $239.88 / $389.05	Professional		$162.18	$239.88	$389.05

Maine rates for HCPCS G0438