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 $281.84 / $2,691.53 / $8,511.38	Facility		$281.84	$2,691.53	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,659.59 / $2,570.40 / $5,495.41	Facility	50	$1,659.59	$2,570.40	$5,495.41
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $281.84 / $549.54	Professional		$181.97	$281.84	$549.54
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $309.03 / $707.95 / $776.25	Professional	50	$309.03	$707.95	$776.25
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $263.03 / $407.38	Professional		$173.78	$263.03	$407.38
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $263.03 / $398.11 / $616.60	Professional	50	$263.03	$398.11	$616.60
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $2,238.72 / $3,548.13	Professional		$173.78	$2,238.72	$3,548.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $302.00 / $489.78	Professional		$194.98	$302.00	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $302.00 / $812.83	Professional		$141.25	$302.00	$812.83
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $524.81 / $602.56	Professional		$416.87	$524.81	$602.56
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $309.03 / $562.34	Facility		$186.21	$309.03	$562.34
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $257.04 / $3,630.78	Facility		$158.49	$257.04	$3,630.78
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $398.11 / $3,630.78	Professional		$239.88	$398.11	$3,630.78
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,737.80 / $3,162.28 / $5,754.40	Facility		$1,737.80	$3,162.28	$5,754.40
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $281.84 / $478.63	Professional		$154.88	$281.84	$478.63

Virginia rates for HCPCS 31238