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 $489.78 / $1,819.70 / $6,025.60	Facility		$489.78	$1,819.70	$6,025.60
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $1,778.28 / $1,778.28 / $1,778.28	Facility	52	$1,778.28	$1,778.28	$1,778.28
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $467.74 / $1,071.52	Professional		$245.47	$467.74	$1,071.52
Aetna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $85.11 / $151.36 / $208.93	Professional	53	$85.11	$151.36	$208.93
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 $239.88 / $323.59 / $489.78	Professional		$239.88	$323.59	$489.78
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $288.40 / $1,995.26	Professional		$239.88	$288.40	$1,995.26
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $426.58 / $645.65 / $1,047.13	Facility		$426.58	$645.65	$1,047.13
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $512.86 / $512.86 / $512.86	Facility	22	$512.86	$512.86	$512.86
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $338.84 / $338.84 / $338.84	Facility	52	$338.84	$338.84	$338.84
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Facility	53	$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $457.09 / $812.83	Professional		$281.84	$457.09	$812.83
Cigna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $275.42 / $275.42 / $275.42	Professional	53	$275.42	$275.42	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $602.56 / $977.24	Professional		$457.09	$602.56	$977.24
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $758.58 / $1,000.00	Professional		$645.65	$758.58	$1,000.00
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $288.40 / $512.86 / $912.01	Facility		$288.40	$512.86	$912.01
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $562.34 / $1,148.15	Professional		$562.34	$562.34	$1,148.15
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $363.08 / $1,096.48	Facility		$257.04	$363.08	$1,096.48
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $630.96 / $1,584.89	Professional		$478.63	$630.96	$1,584.89
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $2,511.89 / $5,370.32	Facility		$575.44	$2,511.89	$5,370.32
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $436.52 / $794.33	Professional		$245.47	$436.52	$794.33

Virginia rates for HCPCS 45385