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 $1,288.25 / $5,128.61 / $8,317.64	Facility		$1,288.25	$5,128.61	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,071.52 / $1,479.11 / $3,162.28	Professional		$1,071.52	$1,479.11	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,202.26 / $1,659.59 / $2,344.23	Professional		$1,202.26	$1,659.59	$2,344.23
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,412.54 / $5,495.41	Professional		$1,174.90	$1,412.54	$5,495.41
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $2,570.40 / $2,570.40 / $2,570.40	Facility	22	$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $1,698.24 / $1,698.24 / $1,698.24	Facility	52	$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Facility Modifier AS Typical Low / Median / Typical High $213.80 / $213.80 / $213.80	Facility	AS	$213.80	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,584.89 / $2,290.87	Professional		$1,174.90	$1,584.89	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,096.48 / $1,318.26 / $1,584.89	Professional		$1,096.48	$1,318.26	$1,584.89
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,995.26 / $1,995.26 / $2,398.83	Professional		$1,995.26	$1,995.26	$2,398.83
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,096.48 / $1,513.56 / $2,398.83	Facility		$1,096.48	$1,513.56	$2,398.83
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $7,585.78 / $7,585.78 / $7,585.78	Professional		$7,585.78	$7,585.78	$7,585.78
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,148.15 / $1,698.24 / $10,000.00	Facility		$1,148.15	$1,698.24	$10,000.00
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,202.26 / $1,778.28 / $10,000.00	Professional		$1,202.26	$1,778.28	$10,000.00
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,248.07 / $8,317.64 / $17,378.01	Facility		$5,248.07	$8,317.64	$17,378.01
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,023.29 / $1,445.44 / $2,344.23	Professional		$1,023.29	$1,445.44	$2,344.23

Virginia rates for HCPCS 15738