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 26 Typical Low / Median / Typical High $13.80 / $23.44 / $61.66	Facility	26	$13.80	$23.44	$61.66
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $52.48 / $107.15	Professional		$38.02	$52.48	$107.15
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $20.89 / $47.86	Professional	26	$12.88	$20.89	$47.86
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $38.02 / $69.18	Professional	TC	$26.92	$38.02	$69.18
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $66.07 / $104.71	Professional		$48.98	$66.07	$104.71
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $19.50 / $30.20	Professional	26	$14.13	$19.50	$30.20
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $46.77 / $74.13	Professional	TC	$33.88	$46.77	$74.13
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $56.23 / $154.88	Professional		$20.42	$56.23	$154.88
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $16.22 / $22.91	Professional	26	$14.79	$16.22	$22.91
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $42.66 / $64.57	Professional	TC	$37.15	$42.66	$64.57
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.12 / $25.12 / $25.12	Facility	26	$25.12	$25.12	$25.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $61.66 / $107.15	Professional		$40.74	$61.66	$107.15
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $18.62 / $33.11	Professional	26	$12.02	$18.62	$33.11
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $41.69 / $77.62	Professional	TC	$28.84	$41.69	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $60.26 / $77.62	Professional		$50.12	$60.26	$77.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $17.38 / $21.88	Professional	26	$13.80	$17.38	$21.88
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $43.65 / $57.54	Professional	TC	$35.48	$43.65	$57.54
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $81.28 / $112.20	Professional		$64.57	$81.28	$112.20
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $27.54 / $33.11	Professional	26	$21.88	$27.54	$33.11
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $60.26 / $85.11	Professional		$60.26	$60.26	$85.11
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $58.88 / $309.03	Professional		$19.95	$58.88	$309.03
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $20.42 / $33.88	Professional	26	$15.49	$20.42	$33.88
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $47.86 / $81.28	Professional	TC	$34.67	$47.86	$81.28
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $60.26 / $104.71	Professional		$38.90	$60.26	$104.71
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $18.20 / $33.11	Professional	26	$12.02	$18.20	$33.11
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $41.69 / $70.79	Professional	TC	$26.92	$41.69	$70.79

Virginia rates for HCPCS 71111