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 $66.07 / $245.47 / $660.69	Facility		$66.07	$245.47	$660.69
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.91 / $16.22 / $42.66	Facility	26	$8.91	$16.22	$42.66
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $30.20 / $120.23 / $660.69	Facility	TC	$30.20	$120.23	$660.69
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $42.66 / $100.00	Professional		$30.90	$42.66	$100.00
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.02 / $32.36	Professional	26	$8.91	$12.02	$32.36
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $120.23 / $120.23 / $177.83	Professional	50	$120.23	$120.23	$177.83
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $17.78 / $17.78 / $17.78	Professional	52	$17.78	$17.78	$17.78
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $30.20 / $60.26	Professional	TC	$22.39	$30.20	$60.26
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $173.78 / $218.78	Facility		$147.91	$173.78	$218.78
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $54.95 / $81.28	Professional		$38.02	$54.95	$81.28
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $14.13 / $20.89	Professional	26	$10.00	$14.13	$20.89
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $57.54 / $79.43 / $123.03	Professional	50	$57.54	$79.43	$123.03
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $39.81 / $60.26	Professional	TC	$28.18	$39.81	$60.26
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $44.67 / $120.23	Professional		$15.85	$44.67	$120.23
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $11.48 / $14.45	Professional	26	$10.23	$11.48	$14.45
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $35.48 / $53.70	Professional	TC	$30.20	$35.48	$53.70
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $134.90 / $524.81	Facility		$74.13	$134.90	$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 $47.86 / $47.86 / $47.86	Facility	TC	$47.86	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $47.86 / $85.11	Professional		$31.62	$47.86	$85.11
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $13.18 / $23.44	Professional	26	$8.32	$13.18	$23.44
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $33.88 / $63.10	Professional	TC	$23.44	$33.88	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $50.12 / $61.66	Professional		$41.69	$50.12	$61.66
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $12.02 / $14.79	Professional	26	$10.00	$12.02	$14.79
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $37.15 / $45.71	Professional	TC	$30.90	$37.15	$45.71
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $23.44 / $23.44	Professional	26	$23.44	$23.44	$23.44
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $48.98 / $77.62	Facility		$33.88	$48.98	$77.62
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $34.67 / $67.61	Professional		$34.67	$34.67	$67.61
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.18 / $37.15 / $81.28	Facility		$13.18	$37.15	$81.28
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $44.67 / $138.04	Professional		$14.13	$44.67	$138.04
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $14.45 / $23.99	Professional	26	$11.22	$14.45	$23.99
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $38.02 / $61.66	Professional	TC	$27.54	$38.02	$61.66
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.13 / $57.54 / $251.19	Facility		$14.13	$57.54	$251.19
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $47.86 / $83.18	Professional		$30.90	$47.86	$83.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $13.49 / $23.99	Professional	26	$8.71	$13.49	$23.99
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $33.88 / $57.54	Professional	TC	$21.88	$33.88	$57.54

Virginia rates for HCPCS 73521