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 $1,659.59 / $3,630.78 / $9,549.93	Facility	$1,659.59	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,318.26 / $1,548.82 / $2,398.83	Professional	$1,318.26	$1,548.82	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,511.38 / $18,620.87 / $25,118.86	Facility	$8,511.38	$18,620.87	$25,118.86
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,348.96 / $1,819.70 / $2,818.38	Professional	$1,348.96	$1,819.70	$2,818.38
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,380.38 / $1,548.82 / $2,754.23	Professional	$1,380.38	$1,548.82	$2,754.23
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $489.78 / $524.81 / $2,454.71	Facility	$489.78	$524.81	$2,454.71
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,122.02 / $1,698.24 / $2,691.53	Professional	$1,122.02	$1,698.24	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,318.26 / $1,584.89 / $2,570.40	Professional	$1,318.26	$1,584.89	$2,570.40
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,778.28 / $1,862.09 / $3,162.28	Professional	$1,778.28	$1,862.09	$3,162.28
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $1,862.09 / $2,884.03	Facility	$1,380.38	$1,862.09	$2,884.03
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,548.82 / $1,548.82 / $2,818.38	Professional	$1,548.82	$1,548.82	$2,818.38
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,348.96 / $1,737.80 / $3,388.44	Facility	$1,348.96	$1,737.80	$3,388.44
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,348.96 / $1,737.80 / $3,388.44	Professional	$1,348.96	$1,737.80	$3,388.44
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $512.86 / $3,162.28 / $5,754.40	Facility	$512.86	$3,162.28	$5,754.40
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $1,659.59 / $2,754.23	Professional	$1,148.15	$1,659.59	$2,754.23

Virginia rates for HCPCS 43425