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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,737.80 / $5,888.44 / $10,964.78	Facility	$1,737.80	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,479.11 / $1,737.80 / $4,466.84	Professional	$1,479.11	$1,737.80	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $12,882.50 / $22,387.21 / $38,018.94	Facility	$12,882.50	$22,387.21	$38,018.94
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,584.89 / $2,398.83 / $4,073.80	Professional	$1,584.89	$2,398.83	$4,073.80
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,778.28 / $2,344.23 / $16,595.87	Professional	$1,778.28	$2,344.23	$16,595.87
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $891.25 / $891.25 / $891.25	Facility	$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,513.56 / $2,041.74 / $3,548.13	Professional	$1,513.56	$2,041.74	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,412.54 / $1,778.28 / $2,089.30	Professional	$1,412.54	$1,778.28	$2,089.30
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,089.30 / $2,630.27 / $3,715.35	Professional	$2,089.30	$2,630.27	$3,715.35
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,548.82 / $2,137.96 / $3,235.94	Facility	$1,548.82	$2,137.96	$3,235.94
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,905.46 / $1,905.46 / $1,905.46	Professional	$1,905.46	$1,905.46	$1,905.46
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,479.11 / $2,089.30 / $9,549.93	Facility	$1,479.11	$2,089.30	$9,549.93
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,479.11 / $2,089.30 / $9,549.93	Professional	$1,479.11	$2,089.30	$9,549.93
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $10,471.29 / $21,877.62	Facility	$6,456.54	$10,471.29	$21,877.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,258.93 / $1,949.84 / $3,090.30	Professional	$1,258.93	$1,949.84	$3,090.30

Virginia rates for HCPCS 21243