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. 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 $100.00 / $912.01 / $5,888.44	Facility		$100.00	$912.01	$5,888.44
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $2,570.40 / $2,570.40 / $2,570.40	Facility	50	$2,570.40	$2,570.40	$2,570.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $112.20 / $223.87	Professional		$54.95	$112.20	$223.87
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $117.49 / $208.93	Professional		$64.57	$117.49	$208.93
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $95.50 / $177.83 / $316.23	Professional	50	$95.50	$177.83	$316.23
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $66.07 / $1,047.13	Professional		$56.23	$66.07	$1,047.13
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $102.33 / $190.55	Professional		$58.88	$102.33	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $158.49 / $190.55	Professional		$123.03	$158.49	$190.55
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $114.82 / $138.04	Professional		$114.82	$114.82	$138.04
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $107.15 / $181.97	Facility		$56.23	$107.15	$181.97
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $79.43 / $2,630.27	Facility		$52.48	$79.43	$2,630.27
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $154.88 / $2,630.27	Professional		$85.11	$154.88	$2,630.27
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $1,047.13 / $2,344.23	Facility		$204.17	$1,047.13	$2,344.23
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $93.33 / $181.97	Professional		$51.29	$93.33	$181.97

Virginia rates for HCPCS 11042