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 $562.34 / $2,754.23 / $7,079.46	Facility		$562.34	$2,754.23	$7,079.46
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $2,818.38 / $2,818.38 / $2,818.38	Facility	50	$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $1,047.13 / $2,344.23	Professional		$302.00	$1,047.13	$2,344.23
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $117.49 / $234.42 / $1,949.84	Professional	50	$117.49	$234.42	$1,949.84
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 $338.84 / $1,258.93 / $2,630.27	Professional		$338.84	$1,258.93	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $512.86 / $1,862.09 / $3,890.45	Professional	50	$512.86	$1,862.09	$3,890.45
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $398.11 / $1,071.52	Professional		$316.23	$398.11	$1,071.52
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $954.99 / $2,818.38	Professional		$346.74	$954.99	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,737.80 / $2,137.96 / $2,630.27	Professional		$1,737.80	$2,137.96	$2,630.27
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $354.81 / $1,412.54 / $3,019.95	Facility		$354.81	$1,412.54	$3,019.95
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $302.00 / $426.58 / $7,413.10	Facility		$302.00	$426.58	$7,413.10
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,513.56 / $2,089.30 / $10,000.00	Professional		$1,513.56	$2,089.30	$10,000.00
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $7,943.28 / $16,982.44	Facility		$5,011.87	$7,943.28	$16,982.44
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $1,230.27 / $2,951.21	Professional		$309.03	$1,230.27	$2,951.21

Virginia rates for HCPCS 36225