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 $380.19 / $4,168.69 / $15,135.61	Facility		$380.19	$4,168.69	$15,135.61
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $2,089.30 / $8,317.64 / $15,488.17	Facility	50	$2,089.30	$8,317.64	$15,488.17
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $398.11 / $3,467.37	Professional		$338.84	$398.11	$3,467.37
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $512.86 / $512.86 / $1,023.29	Professional	50	$512.86	$512.86	$1,023.29
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 $309.03 / $407.38 / $575.44	Professional		$309.03	$407.38	$575.44
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $457.09 / $602.56 / $870.96	Professional	50	$457.09	$602.56	$870.96
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $5,248.07 / $8,317.64	Professional		$331.13	$5,248.07	$8,317.64
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $478.63 / $724.44	Professional		$323.59	$478.63	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $316.23 / $812.83	Professional		$263.03	$316.23	$812.83
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $741.31 / $758.58	Professional		$602.56	$741.31	$758.58
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $501.19 / $794.33	Facility		$316.23	$501.19	$794.33
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $309.03 / $524.81 / $10,000.00	Facility		$309.03	$524.81	$10,000.00
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $524.81 / $10,000.00	Professional		$309.03	$524.81	$10,000.00
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,495.41 / $8,511.38 / $17,378.01	Facility		$5,495.41	$8,511.38	$17,378.01
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $501.19 / $724.44	Professional		$281.84	$501.19	$724.44

Virginia rates for HCPCS 31255