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 $123.03 / $776.25 / $5,888.44	Facility		$123.03	$776.25	$5,888.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $213.80 / $467.74	Professional		$85.11	$213.80	$467.74
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $218.78 / $436.52	Professional		$93.33	$218.78	$436.52
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $100.00 / $1,995.26	Professional		$85.11	$100.00	$1,995.26
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $512.86 / $616.60	Facility		$323.59	$512.86	$616.60
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $117.49 / $117.49 / $117.49	Facility	52	$117.49	$117.49	$117.49
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $29.51 / $29.51 / $29.51	Facility	53	$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $218.78 / $446.68	Professional		$97.72	$218.78	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $346.74 / $575.44	Professional		$281.84	$346.74	$575.44
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $323.59 / $630.96	Professional		$269.15	$323.59	$630.96
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $234.42 / $446.68	Facility		$100.00	$234.42	$446.68
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $194.98 / $512.86	Professional		$194.98	$194.98	$512.86
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $87.10 / $123.03 / $776.25	Facility		$87.10	$123.03	$776.25
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $316.23 / $1,047.13	Professional		$234.42	$316.23	$1,047.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $562.34 / $2,511.89 / $5,248.07	Facility		$562.34	$2,511.89	$5,248.07
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $186.21 / $398.11	Professional		$83.18	$186.21	$398.11

Virginia rates for HCPCS 43200