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 $41.69 / $75.86 / $190.55	Facility	26	$41.69	$75.86	$190.55
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $190.55 / $537.03	Professional		$128.82	$190.55	$537.03
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $61.66 / $177.83	Professional	26	$43.65	$61.66	$177.83
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $120.23 / $288.40	Professional	TC	$83.18	$120.23	$288.40
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $177.83 / $302.00	Professional		$125.89	$177.83	$302.00
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $60.26 / $97.72	Professional	26	$44.67	$60.26	$97.72
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $114.82 / $194.98	Professional	TC	$81.28	$114.82	$194.98
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $181.97 / $891.25	Professional		$61.66	$181.97	$891.25
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $54.95 / $85.11	Professional	26	$51.29	$54.95	$85.11
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $123.03 / $186.21	Professional	TC	$109.65	$123.03	$186.21
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $75.86 / $75.86 / $75.86	Facility	26	$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $257.04 / $426.58	Professional		$114.82	$257.04	$426.58
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $63.10 / $109.65	Professional	26	$36.31	$63.10	$109.65
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $181.97 / $323.59	Professional	TC	$79.43	$181.97	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $154.88 / $199.53	Professional		$125.89	$154.88	$199.53
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $52.48 / $67.61	Professional	26	$42.66	$52.48	$67.61
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $100.00 / $131.83	Professional	TC	$81.28	$100.00	$131.83
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $436.52 / $457.09	Professional		$302.00	$436.52	$457.09
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $102.33 / $102.33	Professional	26	$81.28	$102.33	$102.33
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $218.78 / $223.87	Professional		$218.78	$218.78	$223.87
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $208.93 / $1,000.00	Professional		$61.66	$208.93	$1,000.00
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $64.57 / $107.15	Professional	26	$50.12	$64.57	$107.15
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $181.97 / $281.84	Professional	TC	$93.33	$181.97	$281.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $218.78 / $446.68	Professional		$123.03	$218.78	$446.68
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $61.66 / $109.65	Professional	26	$34.67	$61.66	$109.65
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $154.88 / $338.84	Professional	TC	$81.28	$154.88	$338.84

Virginia rates for HCPCS 72131