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 / $1,819.70 / $6,918.31	Facility		$295.12	$1,819.70	$6,918.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $302.00 / $1,778.28	Professional		$141.25	$302.00	$1,778.28
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 $162.18 / $501.19 / $1,778.28	Professional		$162.18	$501.19	$1,778.28
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $177.83 / $2,951.21	Professional		$147.91	$177.83	$2,951.21
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $426.58 / $870.96 / $977.24	Facility		$426.58	$870.96	$977.24
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $309.03 / $309.03 / $309.03	Facility	22	$309.03	$309.03	$309.03
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $204.17 / $204.17 / $204.17	Facility	52	$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Facility	53	$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $288.40 / $1,737.80	Professional		$162.18	$288.40	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $1,380.38 / $2,398.83	Professional		$446.68	$1,380.38	$2,398.83
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $275.42 / $1,584.89	Professional		$223.87	$275.42	$1,584.89
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $309.03 / $1,819.70	Facility		$162.18	$309.03	$1,819.70
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $223.87 / $354.81	Professional		$223.87	$223.87	$354.81
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $117.49 / $204.17 / $794.33	Facility		$117.49	$204.17	$794.33
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $1,096.48 / $2,691.53	Professional		$194.98	$1,096.48	$2,691.53
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $602.56 / $2,754.23 / $5,370.32	Facility		$602.56	$2,754.23	$5,370.32
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $263.03 / $1,737.80	Professional		$141.25	$263.03	$1,737.80

Virginia rates for HCPCS 43249