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 $25.70 / $41.69 / $114.82	Facility	26	$25.70	$41.69	$114.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $97.72 / $173.78	Professional		$72.44	$97.72	$173.78
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $38.02 / $75.86	Professional	26	$21.88	$38.02	$75.86
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $70.79 / $117.49	Professional	TC	$52.48	$70.79	$117.49
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $123.03 / $190.55	Professional		$87.10	$123.03	$190.55
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $35.48 / $54.95	Professional	26	$25.12	$35.48	$54.95
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $87.10 / $134.90	Professional	TC	$63.10	$87.10	$134.90
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $97.72 / $213.80	Professional		$30.20	$97.72	$213.80
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $30.20 / $42.66	Professional	26	$22.39	$30.20	$42.66
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $70.79 / $117.49	Professional	TC	$67.61	$70.79	$117.49
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $46.77 / $46.77 / $46.77	Facility	26	$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $104.71 / $199.53	Professional		$72.44	$104.71	$199.53
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $30.20 / $58.88	Professional	26	$20.89	$30.20	$58.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $72.44 / $147.91	Professional	TC	$51.29	$72.44	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $112.20 / $147.91	Professional		$91.20	$112.20	$147.91
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $31.62 / $40.74	Professional	26	$25.70	$31.62	$40.74
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $79.43 / $109.65	Professional	TC	$64.57	$79.43	$109.65
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $109.65 / $218.78	Professional		$89.13	$109.65	$218.78
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $40.74 / $61.66	Professional	26	$32.36	$40.74	$61.66
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $60.26 / $162.18	Professional		$60.26	$60.26	$162.18
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $100.00 / $309.03	Professional		$30.20	$100.00	$309.03
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $33.11 / $64.57	Professional	26	$23.44	$33.11	$64.57
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $87.10 / $147.91	Professional	TC	$64.57	$87.10	$147.91
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $102.33 / $194.98	Professional		$66.07	$102.33	$194.98
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $30.90 / $63.10	Professional	26	$19.50	$30.90	$63.10
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $72.44 / $134.90	Professional	TC	$45.71	$72.44	$134.90

Virginia rates for HCPCS 74220