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 $57.54 / $199.53 / $537.03	Facility		$57.54	$199.53	$537.03
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.76 / $12.88 / $34.67	Facility	26	$7.76	$12.88	$34.67
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $25.70 / $134.90 / $501.19	Facility	TC	$25.70	$134.90	$501.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $28.84 / $81.28	Professional		$8.51	$28.84	$81.28
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $11.48 / $37.15	Professional	26	$7.08	$11.48	$37.15
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $67.61 / $125.89 / $251.19	Professional	50	$67.61	$125.89	$251.19
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $26.92 / $54.95	Professional	TC	$19.95	$26.92	$54.95
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $147.91 / $186.21	Facility		$125.89	$147.91	$186.21
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $46.77 / $70.79	Professional		$33.11	$46.77	$70.79
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $11.48 / $16.98	Professional	26	$8.13	$11.48	$16.98
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $48.98 / $69.18 / $104.71	Professional	50	$48.98	$69.18	$104.71
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $35.48 / $53.70	Professional	TC	$25.12	$35.48	$53.70
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $40.74 / $97.72	Professional		$10.47	$40.74	$97.72
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $9.33 / $12.88	Professional	26	$8.32	$9.33	$12.88
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $30.90 / $38.90	Professional	TC	$28.18	$30.90	$38.90
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $120.23 / $524.81	Facility		$66.07	$120.23	$524.81
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.13 / $14.13 / $14.13	Facility	26	$14.13	$14.13	$14.13
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Facility	TC	$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $40.74 / $72.44	Professional		$27.54	$40.74	$72.44
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $10.96 / $19.05	Professional	26	$6.76	$10.96	$19.05
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $28.18 / $53.70	Professional	TC	$19.95	$28.18	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $41.69 / $51.29	Professional		$34.67	$41.69	$51.29
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $9.55 / $12.02	Professional	26	$7.94	$9.55	$12.02
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $31.62 / $39.81	Professional	TC	$26.30	$31.62	$39.81
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $19.05 / $19.05	Professional	26	$19.05	$19.05	$19.05
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $41.69 / $66.07	Facility		$28.84	$41.69	$66.07
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $28.18 / $57.54	Professional		$28.18	$28.18	$57.54
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.96 / $30.90 / $70.79	Facility		$10.96	$30.90	$70.79
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $37.15 / $120.23	Professional		$11.48	$37.15	$120.23
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $11.75 / $19.50	Professional	26	$9.33	$11.75	$19.50
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $31.62 / $53.70	Professional	TC	$22.39	$31.62	$53.70
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $48.98 / $186.21	Facility		$11.48	$48.98	$186.21
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $40.74 / $72.44	Professional		$25.70	$40.74	$72.44
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $11.22 / $20.89	Professional	26	$7.08	$11.22	$20.89
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $28.18 / $51.29	Professional	TC	$18.20	$28.18	$51.29

Virginia rates for HCPCS 73552