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 $295.12 / $1,778.28 / $5,623.41	Facility		$295.12	$1,778.28	$5,623.41
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $331.13 / $575.44 / $1,258.93	Facility	52	$331.13	$575.44	$1,258.93
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $245.47 / $660.69	Professional		$112.20	$245.47	$660.69
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 $128.82 / $269.15 / $478.63	Professional		$128.82	$269.15	$478.63
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $141.25 / $1,995.26	Professional		$117.49	$141.25	$1,995.26
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $512.86 / $870.96	Facility		$323.59	$512.86	$870.96
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Facility	22	$245.47	$245.47	$245.47
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Facility	52	$165.96	$165.96	$165.96
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Facility	53	$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $275.42 / $501.19	Professional		$134.90	$275.42	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $389.05 / $645.65	Professional		$316.23	$389.05	$645.65
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $426.58 / $562.34	Professional		$363.08	$426.58	$562.34
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $295.12 / $537.03	Facility		$138.04	$295.12	$537.03
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $281.84 / $676.08	Professional		$281.84	$281.84	$676.08
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $186.21 / $794.33	Facility		$123.03	$186.21	$794.33
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $380.19 / $1,202.26	Professional		$288.40	$380.19	$1,202.26
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 $117.49 / $239.88 / $478.63	Professional		$117.49	$239.88	$478.63

Virginia rates for HCPCS 43235