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 $10.96 / $15.49 / $51.29	Facility	26	$10.96	$15.49	$51.29
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $28.84 / $48.98 / $87.10	Facility	TC	$28.84	$48.98	$87.10
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $40.74 / $79.43	Professional		$30.90	$40.74	$79.43
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $16.22 / $35.48	Professional	26	$10.00	$16.22	$35.48
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $28.18 / $56.23	Professional	TC	$20.89	$28.18	$56.23
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $56.23 / $85.11	Professional		$38.90	$56.23	$85.11
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $16.60 / $25.12	Professional	26	$11.75	$16.60	$25.12
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $39.81 / $60.26	Professional	TC	$26.92	$39.81	$60.26
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $47.86 / $117.49	Professional		$30.90	$47.86	$117.49
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $13.49 / $19.05	Professional	26	$12.02	$13.49	$19.05
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $34.67 / $52.48	Professional	TC	$30.90	$34.67	$52.48
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $20.89 / $20.89 / $20.89	Facility	26	$20.89	$20.89	$20.89
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $46.77 / $46.77 / $46.77	Facility	TC	$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $48.98 / $87.10	Professional		$33.11	$48.98	$87.10
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $15.85 / $28.18	Professional	26	$9.77	$15.85	$28.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $30.90 / $60.26	Professional	TC	$22.39	$30.90	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $48.98 / $61.66	Professional		$40.74	$48.98	$61.66
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $13.80 / $17.78	Professional	26	$11.48	$13.80	$17.78
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $34.67 / $43.65	Professional	TC	$28.84	$34.67	$43.65
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Professional	26	$27.54	$27.54	$27.54
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $15.85 / $70.79	Professional		$15.85	$15.85	$70.79
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $44.67 / $138.04	Professional		$16.60	$44.67	$138.04
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $17.38 / $28.84	Professional	26	$13.49	$17.38	$28.84
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $34.67 / $61.66	Professional	TC	$25.12	$34.67	$61.66
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $48.98 / $85.11	Professional		$30.90	$48.98	$85.11
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $15.85 / $28.18	Professional	26	$10.00	$15.85	$28.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $33.11 / $58.88	Professional	TC	$20.42	$33.11	$58.88

Virginia rates for HCPCS 74021