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 / $199.53 / $416.87	Facility	26	$117.49	$199.53	$416.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $524.81 / $2,187.76	Professional		$346.74	$524.81	$2,187.76
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $158.49 / $371.54	Professional	26	$100.00	$158.49	$371.54
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $346.74 / $776.25	Professional	TC	$245.47	$346.74	$776.25
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $467.74 / $812.83	Professional		$331.13	$467.74	$812.83
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $128.82 / $208.93	Professional	26	$97.72	$128.82	$208.93
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $331.13 / $549.54	Professional	TC	$234.42	$331.13	$549.54
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $501.19 / $3,311.31	Professional		$165.96	$501.19	$3,311.31
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $144.54 / $181.97	Professional	26	$107.15	$144.54	$181.97
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $371.54 / $776.25	Professional	TC	$354.81	$371.54	$776.25
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $169.82 / $169.82 / $169.82	Facility	26	$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $660.69 / $1,380.38	Professional		$316.23	$660.69	$1,380.38
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $131.83 / $229.09	Professional	26	$81.28	$131.83	$229.09
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $229.09 / $501.19 / $1,148.15	Professional	TC	$229.09	$501.19	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $398.11 / $524.81	Professional		$323.59	$398.11	$524.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $114.82 / $147.91	Professional	26	$93.33	$114.82	$147.91
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $229.09 / $281.84 / $380.19	Professional	TC	$229.09	$281.84	$380.19
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $831.76 / $1,621.81 / $1,621.81	Professional		$831.76	$1,621.81	$1,621.81
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $158.49 / $199.53 / $223.87	Professional	26	$158.49	$199.53	$223.87
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $575.44 / $758.58	Professional		$575.44	$575.44	$758.58
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $575.44 / $1,584.89	Professional		$134.90	$575.44	$1,584.89
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $141.25 / $218.78	Professional	26	$107.15	$141.25	$218.78
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $275.42 / $524.81 / $1,023.29	Professional	TC	$275.42	$524.81	$1,023.29
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $588.84 / $1,479.11	Professional		$309.03	$588.84	$1,479.11
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $125.89 / $223.87	Professional	26	$77.62	$125.89	$223.87
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $426.58 / $1,230.27	Professional	TC	$223.87	$426.58	$1,230.27

Virginia rates for HCPCS 72197