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 $218.78 / $1,949.84 / $7,079.46	Facility		$218.78	$1,949.84	$7,079.46
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $40.74 / $40.74 / $67.61	Facility	26	$40.74	$40.74	$67.61
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $213.80 / $436.52	Professional		$151.36	$213.80	$436.52
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $45.71 / $85.11	Professional	26	$38.02	$45.71	$85.11
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $158.49 / $281.84	Professional	TC	$95.50	$158.49	$281.84
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $239.88 / $338.84	Professional		$181.97	$239.88	$338.84
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $48.98 / $70.79	Professional	26	$37.15	$48.98	$70.79
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $190.55 / $269.15	Professional	TC	$141.25	$190.55	$269.15
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $275.42 / $1,174.90	Professional		$173.78	$275.42	$1,174.90
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $46.77 / $66.07	Professional	26	$38.90	$46.77	$66.07
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $162.18 / $234.42	Professional	TC	$138.04	$162.18	$234.42
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $223.87 / $426.58	Professional		$131.83	$223.87	$426.58
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $56.23 / $109.65	Professional	26	$38.02	$56.23	$109.65
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $169.82 / $323.59	Professional	TC	$89.13	$169.82	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $181.97 / $436.52	Professional		$151.36	$181.97	$436.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $46.77 / $117.49	Professional	26	$38.90	$46.77	$117.49
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $134.90 / $288.40	Professional	TC	$114.82	$134.90	$288.40
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $436.52 / $457.09	Professional		$346.74	$436.52	$457.09
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $117.49 / $144.54	Professional	26	$91.20	$117.49	$144.54
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $223.87 / $436.52	Facility		$154.88	$223.87	$436.52
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $48.98 / $144.54 / $512.86	Facility		$48.98	$144.54	$512.86
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $177.83 / $1,174.90	Professional		$52.48	$177.83	$1,174.90
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $54.95 / $95.50	Professional	26	$42.66	$54.95	$95.50
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $173.78 / $331.13	Professional	TC	$89.13	$173.78	$331.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $1,047.13 / $2,344.23	Facility		$204.17	$1,047.13	$2,344.23
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $229.09 / $398.11	Professional		$134.90	$229.09	$398.11
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $60.26 / $112.20	Professional	26	$34.67	$60.26	$112.20
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $165.96 / $302.00	Professional	TC	$97.72	$165.96	$302.00

Virginia rates for HCPCS 51797