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 $28.84 / $41.69 / $79.43	Facility	26	$28.84	$41.69	$79.43
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $107.15 / $173.78	Professional		$89.13	$107.15	$173.78
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $42.66 / $93.33	Professional	26	$28.84	$42.66	$93.33
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $75.86 / $120.23	Professional	TC	$61.66	$75.86	$120.23
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $138.04 / $213.80	Professional		$102.33	$138.04	$213.80
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $41.69 / $64.57	Professional	26	$30.90	$41.69	$64.57
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $97.72 / $151.36	Professional	TC	$72.44	$97.72	$151.36
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $120.23 / $467.74	Professional		$35.48	$120.23	$467.74
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $37.15 / $53.70	Professional	26	$31.62	$37.15	$53.70
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $87.10 / $109.65	Professional	TC	$77.62	$87.10	$109.65
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $53.70 / $53.70 / $53.70	Facility	26	$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $131.83 / $229.09	Professional		$87.10	$131.83	$229.09
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $40.74 / $72.44	Professional	26	$25.70	$40.74	$72.44
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $89.13 / $158.49	Professional	TC	$60.26	$89.13	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $123.03 / $154.88	Professional		$102.33	$123.03	$154.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $35.48 / $45.71	Professional	26	$29.51	$35.48	$45.71
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $87.10 / $107.15	Professional	TC	$72.44	$87.10	$107.15
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Professional	26	$70.79	$70.79	$70.79
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $97.72 / $186.21	Professional		$97.72	$97.72	$186.21
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $114.82 / $245.47	Professional		$42.66	$114.82	$245.47
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $44.67 / $74.13	Professional	26	$35.48	$44.67	$74.13
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $97.72 / $165.96	Professional	TC	$74.13	$97.72	$165.96
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $128.82 / $218.78	Professional		$83.18	$128.82	$218.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $41.69 / $74.13	Professional	26	$26.30	$41.69	$74.13
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $89.13 / $151.36	Professional	TC	$57.54	$89.13	$151.36

Virginia rates for HCPCS 74221