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 $338.84 / $2,344.23 / $9,772.37	Facility		$338.84	$2,344.23	$9,772.37
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,621.81 / $4,073.80 / $9,772.37	Facility	50	$1,621.81	$4,073.80	$9,772.37
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $457.09 / $1,071.52	Professional		$263.03	$457.09	$1,071.52
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $100.00 / $426.58 / $645.65	Professional	50	$100.00	$426.58	$645.65
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $9,772.37 / $12,302.69 / $17,782.79	Facility		$9,772.37	$12,302.69	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $426.58 / $707.95	Professional		$251.19	$426.58	$707.95
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $380.19 / $645.65 / $1,047.13	Professional	50	$380.19	$645.65	$1,047.13
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $4,168.69 / $6,918.31	Professional		$251.19	$4,168.69	$6,918.31
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $407.38 / $776.25	Professional		$269.15	$407.38	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $512.86 / $1,023.29	Professional		$199.53	$512.86	$1,023.29
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $501.19 / $1,047.13	Professional		$407.38	$501.19	$1,047.13
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $275.42 / $446.68 / $776.25	Facility		$275.42	$446.68	$776.25
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $229.09 / $354.81 / $8,709.64	Facility		$229.09	$354.81	$8,709.64
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $524.81 / $8,709.64	Professional		$295.12	$524.81	$8,709.64
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,715.35 / $6,165.95 / $13,489.63	Facility		$3,715.35	$6,165.95	$13,489.63
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $389.05 / $741.31	Professional		$218.78	$389.05	$741.31

Virginia rates for HCPCS 31254