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 $169.82 / $2,630.27 / $8,317.64	Facility	$169.82	$2,630.27	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $218.78 / $354.81	Professional	$138.04	$218.78	$354.81
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 $151.36 / $239.88 / $380.19	Professional	$151.36	$239.88	$380.19
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $162.18 / $3,311.31	Professional	$141.25	$162.18	$3,311.31
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $173.78 / $346.74	Facility	$151.36	$173.78	$346.74
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $245.47 / $416.87	Professional	$151.36	$245.47	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $281.84 / $575.44	Professional	$223.87	$281.84	$575.44
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $309.03 / $407.38	Professional	$288.40	$309.03	$407.38
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $251.19 / $426.58	Facility	$147.91	$251.19	$426.58
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $489.78	Professional	$147.91	$147.91	$489.78
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $190.55 / $870.96	Facility	$144.54	$190.55	$870.96
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $288.40 / $1,071.52	Professional	$229.09	$288.40	$1,071.52
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 $134.90 / $229.09 / $389.05	Professional	$134.90	$229.09	$389.05

Virginia rates for HCPCS 42160