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 $33.88 / $57.54 / $154.88	Facility	26	$33.88	$57.54	$154.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $120.23 / $218.78	Professional		$89.13	$120.23	$218.78
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $52.48 / $104.71	Professional	26	$30.90	$52.48	$104.71
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $85.11 / $138.04	Professional	TC	$61.66	$85.11	$138.04
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $154.88 / $239.88	Professional		$112.20	$154.88	$239.88
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $47.86 / $74.13	Professional	26	$35.48	$47.86	$74.13
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $107.15 / $165.96	Professional	TC	$75.86	$107.15	$165.96
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $134.90 / $281.84	Professional		$50.12	$134.90	$281.84
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $40.74 / $51.29	Professional	26	$33.11	$40.74	$51.29
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $95.50 / $120.23	Professional	TC	$81.28	$95.50	$120.23
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $61.66 / $61.66 / $61.66	Facility	26	$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $131.83 / $245.47	Professional		$93.33	$131.83	$245.47
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $41.69 / $77.62	Professional	26	$28.18	$41.69	$77.62
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $89.13 / $177.83	Professional	TC	$61.66	$89.13	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $144.54 / $186.21	Professional		$120.23	$144.54	$186.21
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $43.65 / $54.95	Professional	26	$34.67	$43.65	$54.95
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $100.00 / $131.83	Professional	TC	$83.18	$100.00	$131.83
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $147.91 / $275.42	Professional		$117.49	$147.91	$275.42
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $60.26 / $83.18	Professional	26	$48.98	$60.26	$83.18
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $204.17	Professional		$100.00	$100.00	$204.17
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $125.89 / $426.58	Professional		$44.67	$125.89	$426.58
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $47.86 / $85.11	Professional	26	$34.67	$47.86	$85.11
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $107.15 / $181.97	Professional	TC	$75.86	$107.15	$181.97
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $131.83 / $245.47	Professional		$81.28	$131.83	$245.47
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $43.65 / $81.28	Professional	26	$26.92	$43.65	$81.28
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $85.11 / $158.49	Professional	TC	$56.23	$85.11	$158.49

Virginia rates for HCPCS 74240