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 $102.33 / $194.98 / $1,096.48	Facility		$102.33	$194.98	$1,096.48
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.88 / $26.92 / $61.66	Facility	26	$12.88	$26.92	$61.66
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $102.33 / $199.53	Professional		$77.62	$102.33	$199.53
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $16.98 / $58.88	Professional	26	$12.88	$16.98	$58.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $85.11 / $138.04	Professional	TC	$63.10	$85.11	$138.04
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $371.54 / $446.68 / $562.34	Facility		$371.54	$446.68	$562.34
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $131.83 / $204.17	Professional		$91.20	$131.83	$204.17
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $19.95 / $30.90	Professional	26	$14.13	$19.95	$30.90
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $112.20 / $173.78	Professional	TC	$75.86	$112.20	$173.78
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $104.71 / $245.47	Professional		$14.79	$104.71	$245.47
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $16.22 / $22.91	Professional	26	$15.49	$16.22	$22.91
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $100.00 / $125.89	Professional	TC	$70.79	$100.00	$125.89
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $363.08 / $812.83	Facility		$204.17	$363.08	$812.83
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.12 / $25.12 / $25.12	Facility	26	$25.12	$25.12	$25.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $107.15 / $199.53	Professional		$75.86	$107.15	$199.53
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $19.50 / $33.88	Professional	26	$12.02	$19.50	$33.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $87.10 / $181.97	Professional	TC	$63.10	$87.10	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $125.89 / $158.49	Professional		$104.71	$125.89	$158.49
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $17.78 / $22.91	Professional	26	$14.45	$17.78	$22.91
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $107.15 / $138.04	Professional	TC	$89.13	$107.15	$138.04
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $125.89 / $234.42	Professional		$100.00	$125.89	$234.42
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $29.51 / $33.88	Professional	26	$23.44	$29.51	$33.88
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $123.03 / $194.98	Facility		$81.28	$123.03	$194.98
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $50.12 / $173.78	Professional		$50.12	$50.12	$173.78
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.62 / $89.13 / $208.93	Facility		$18.62	$89.13	$208.93
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $100.00 / $251.19	Professional		$19.95	$100.00	$251.19
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $20.89 / $33.88	Professional	26	$15.49	$20.89	$33.88
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $104.71 / $186.21	Professional	TC	$72.44	$104.71	$186.21
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.95 / $138.04 / $524.81	Facility		$19.95	$138.04	$524.81
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $107.15 / $199.53	Professional		$69.18	$107.15	$199.53
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $19.05 / $33.11	Professional	26	$12.30	$19.05	$33.11
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $87.10 / $158.49	Professional	TC	$57.54	$87.10	$158.49

Virginia rates for HCPCS 74455