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 $117.49 / $194.98 / $691.83	Facility	26	$117.49	$194.98	$691.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $524.81 / $1,819.70	Professional		$323.59	$524.81	$1,819.70
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $165.96 / $371.54	Professional	26	$102.33	$165.96	$371.54
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $338.84 / $758.58	Professional	TC	$218.78	$338.84	$758.58
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $446.68 / $758.58	Professional		$316.23	$446.68	$758.58
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $138.04 / $218.78	Professional	26	$102.33	$138.04	$218.78
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $295.12 / $512.86	Professional	TC	$208.93	$295.12	$512.86
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $478.63 / $3,388.44	Professional		$151.36	$478.63	$3,388.44
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $154.88 / $229.09	Professional	26	$112.20	$154.88	$229.09
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $323.59 / $489.78	Professional	TC	$295.12	$323.59	$489.78
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $177.83 / $177.83 / $177.83	Facility	26	$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $616.60 / $1,348.96	Professional		$288.40	$616.60	$1,348.96
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $138.04 / $245.47	Professional	26	$85.11	$138.04	$245.47
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $426.58 / $1,148.15	Professional	TC	$199.53	$426.58	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $371.54 / $489.78	Professional		$309.03	$371.54	$489.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $120.23 / $154.88	Professional	26	$97.72	$120.23	$154.88
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $257.04 / $346.74	Professional	TC	$208.93	$257.04	$346.74
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $776.25 / $1,659.59 / $1,698.24	Professional		$776.25	$1,659.59	$1,698.24
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $165.96 / $208.93 / $234.42	Professional	26	$165.96	$208.93	$234.42
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $549.54 / $707.95	Professional		$549.54	$549.54	$707.95
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $537.03 / $1,995.26	Professional		$141.25	$537.03	$1,995.26
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $147.91 / $229.09	Professional	26	$112.20	$147.91	$229.09
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $467.74 / $1,000.00	Professional	TC	$251.19	$467.74	$1,000.00
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $549.54 / $1,479.11	Professional		$295.12	$549.54	$1,479.11
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $131.83 / $234.42	Professional	26	$79.43	$131.83	$234.42
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $389.05 / $1,202.26	Professional	TC	$204.17	$389.05	$1,202.26

Virginia rates for HCPCS 72158