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 $158.49 / $3,235.94 / $8,317.64	Facility	$158.49	$3,235.94	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $208.93 / $371.54	Professional	$128.82	$208.93	$371.54
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 $141.25 / $223.87 / $371.54	Professional	$141.25	$223.87	$371.54
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $151.36 / $3,311.31	Professional	$128.82	$151.36	$3,311.31
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $165.96 / $457.09	Facility	$151.36	$165.96	$457.09
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $218.78 / $389.05	Professional	$141.25	$218.78	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $263.03 / $537.03	Professional	$213.80	$263.03	$537.03
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $257.04 / $316.23	Professional	$208.93	$257.04	$316.23
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $234.42 / $389.05	Facility	$141.25	$234.42	$389.05
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $165.96 / $398.11	Professional	$165.96	$165.96	$398.11
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $169.82 / $870.96	Facility	$134.90	$169.82	$870.96
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $257.04 / $1,047.13	Professional	$194.98	$257.04	$1,047.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $562.34 / $2,754.23 / $5,754.40	Facility	$562.34	$2,754.23	$5,754.40
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $204.17 / $346.74	Professional	$123.03	$204.17	$346.74

Virginia rates for HCPCS 42104