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 $51.29 / $204.17 / $588.84	Facility		$51.29	$204.17	$588.84
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.55 / $16.22 / $42.66	Facility	26	$9.55	$16.22	$42.66
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $27.54 / $112.20 / $512.86	Facility	TC	$27.54	$112.20	$512.86
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $50.12 / $107.15	Professional		$32.36	$50.12	$107.15
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $15.85 / $36.31	Professional	26	$8.91	$15.85	$36.31
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $32.36 / $58.88	Professional	TC	$21.88	$32.36	$58.88
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $165.96 / $208.93	Facility		$141.25	$165.96	$208.93
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $51.29 / $81.28	Professional		$36.31	$51.29	$81.28
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $13.80 / $20.89	Professional	26	$9.77	$13.80	$20.89
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $36.31 / $57.54	Professional	TC	$26.30	$36.31	$57.54
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $40.74 / $104.71	Professional		$11.48	$40.74	$104.71
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $11.48 / $17.38	Professional	26	$10.23	$11.48	$17.38
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $33.88 / $42.66	Professional	TC	$28.18	$33.88	$42.66
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $117.49 / $524.81	Facility		$69.18	$117.49	$524.81
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $17.38 / $17.38 / $17.38	Facility	26	$17.38	$17.38	$17.38
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Facility	TC	$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $43.65 / $79.43	Professional		$30.20	$43.65	$79.43
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $13.18 / $23.44	Professional	26	$8.51	$13.18	$23.44
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $29.51 / $58.88	Professional	TC	$21.38	$29.51	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $46.77 / $58.88	Professional		$38.90	$46.77	$58.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $11.75 / $15.14	Professional	26	$9.55	$11.75	$15.14
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $35.48 / $44.67	Professional	TC	$28.84	$35.48	$44.67
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $54.95 / $85.11	Professional		$44.67	$54.95	$85.11
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $19.05 / $23.44	Professional	26	$15.49	$19.05	$23.44
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $50.12 / $77.62	Facility		$32.36	$50.12	$77.62
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $39.81 / $64.57	Professional		$39.81	$39.81	$64.57
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.88 / $33.88 / $93.33	Facility		$12.88	$33.88	$93.33
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $41.69 / $162.18	Professional		$13.80	$41.69	$162.18
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $14.45 / $23.99	Professional	26	$10.96	$14.45	$23.99
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $35.48 / $58.88	Professional	TC	$22.39	$35.48	$58.88
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.88 / $45.71 / $186.21	Facility		$12.88	$45.71	$186.21
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $44.67 / $79.43	Professional		$27.54	$44.67	$79.43
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $13.18 / $23.99	Professional	26	$8.51	$13.18	$23.99
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $31.62 / $56.23	Professional	TC	$19.95	$31.62	$56.23

Virginia rates for HCPCS 72040