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 $51.29 / $93.33 / $371.54	Facility	26	$51.29	$93.33	$371.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $229.09 / $549.54	Professional		$165.96	$229.09	$549.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $79.43 / $186.21	Professional	26	$53.70	$79.43	$186.21
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $165.96 / $338.84	Professional	TC	$112.20	$165.96	$338.84
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $234.42 / $363.08	Professional		$165.96	$234.42	$363.08
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $72.44 / $117.49	Professional	26	$53.70	$72.44	$117.49
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $158.49 / $257.04	Professional	TC	$109.65	$158.49	$257.04
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $218.78 / $977.24	Professional		$83.18	$218.78	$977.24
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $74.13 / $93.33	Professional	26	$58.88	$74.13	$93.33
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $181.97 / $218.78	Professional	TC	$141.25	$181.97	$218.78
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Facility	26	$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $323.59 / $524.81	Professional		$151.36	$323.59	$524.81
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $70.79 / $125.89	Professional	26	$44.67	$70.79	$125.89
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $229.09 / $398.11	Professional	TC	$109.65	$229.09	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $199.53 / $257.04	Professional		$165.96	$199.53	$257.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $64.57 / $81.28	Professional	26	$51.29	$64.57	$81.28
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $134.90 / $177.83	Professional	TC	$109.65	$134.90	$177.83
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $512.86 / $524.81	Professional		$398.11	$512.86	$524.81
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $107.15 / $125.89	Professional	26	$85.11	$107.15	$125.89
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $223.87 / $288.40	Professional		$223.87	$223.87	$288.40
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $275.42 / $912.01	Professional		$75.86	$275.42	$912.01
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $79.43 / $125.89	Professional	26	$60.26	$79.43	$125.89
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $213.80 / $363.08	Professional	TC	$125.89	$213.80	$363.08
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $263.03 / $512.86	Professional		$154.88	$263.03	$512.86
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $70.79 / $123.03	Professional	26	$40.74	$70.79	$123.03
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $199.53 / $426.58	Professional	TC	$107.15	$199.53	$426.58

Virginia rates for HCPCS 72126