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 $63.10 / $229.09 / $758.58	Facility		$63.10	$229.09	$758.58
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $13.80 / $36.31	Facility	26	$7.94	$13.80	$36.31
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $30.90 / $229.09 / $741.31	Facility	TC	$30.90	$229.09	$741.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $37.15 / $112.20	Professional		$9.12	$37.15	$112.20
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $15.49 / $52.48	Professional	26	$7.94	$15.49	$52.48
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $26.92 / $72.44 / $190.55	Professional	50	$26.92	$72.44	$190.55
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $38.90 / $91.20	Professional	TC	$24.55	$38.90	$91.20
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $177.83 / $223.87	Facility		$151.36	$177.83	$223.87
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $52.48 / $85.11	Professional		$36.31	$52.48	$85.11
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $11.48 / $17.78	Professional	26	$8.32	$11.48	$17.78
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $54.95 / $79.43 / $128.82	Professional	50	$54.95	$79.43	$128.82
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $39.81 / $63.10	Professional	TC	$26.92	$39.81	$63.10
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.55 / $41.69 / $91.20	Professional		$9.55	$41.69	$91.20
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $8.71 / $13.49	Professional	26	$8.32	$8.71	$13.49
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $33.11 / $56.23	Professional	TC	$28.18	$33.11	$56.23
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $125.89 / $524.81	Facility		$75.86	$125.89	$524.81
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.79 / $14.79 / $14.79	Facility	26	$14.79	$14.79	$14.79
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $48.98 / $48.98 / $48.98	Facility	TC	$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $42.66 / $81.28	Professional		$30.20	$42.66	$81.28
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.96 / $19.95	Professional	26	$7.08	$10.96	$19.95
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $31.62 / $66.07	Professional	TC	$23.44	$31.62	$66.07
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 $8.71 / $10.72 / $13.49	Professional	26	$8.71	$10.72	$13.49
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $39.81 / $48.98	Professional	TC	$32.36	$39.81	$48.98
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $51.29 / $87.10	Professional		$40.74	$51.29	$87.10
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $16.22 / $19.50	Professional	26	$12.88	$16.22	$19.50
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $50.12 / $79.43	Facility		$33.11	$50.12	$79.43
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $34.67 / $66.07	Professional		$34.67	$34.67	$66.07
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.96 / $35.48 / $95.50	Facility		$10.96	$35.48	$95.50
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $40.74 / $154.88	Professional		$11.75	$40.74	$154.88
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $12.02 / $20.42	Professional	26	$9.12	$12.02	$20.42
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $37.15 / $64.57	Professional	TC	$25.70	$37.15	$64.57
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.22 / $44.67 / $186.21	Facility		$11.22	$44.67	$186.21
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $43.65 / $79.43	Professional		$26.92	$43.65	$79.43
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.24 / $11.22 / $20.42	Professional	26	$7.24	$11.22	$20.42
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $33.11 / $67.61	Professional	TC	$20.42	$33.11	$67.61

Virginia rates for HCPCS 73562