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 $23.99 / $42.66 / $109.65	Facility	26	$23.99	$42.66	$109.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $79.43 / $229.09	Professional		$51.29	$79.43	$229.09
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $38.90 / $95.50	Professional	26	$22.91	$38.90	$95.50
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $46.77 / $89.13 / $295.12	Professional	52	$46.77	$89.13	$295.12
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $47.86 / $95.50	Professional	TC	$25.70	$47.86	$95.50
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $79.43 / $114.82	Professional		$56.23	$79.43	$114.82
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $35.48 / $52.48	Professional	26	$25.70	$35.48	$52.48
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $42.66 / $60.26	Professional	TC	$30.20	$42.66	$60.26
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $64.57 / $239.88	Professional		$32.36	$64.57	$239.88
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $28.84 / $32.36	Professional	26	$25.70	$28.84	$32.36
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $35.48 / $54.95	Professional	TC	$35.48	$35.48	$54.95
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.61 / $30.90 / $44.67	Facility	26	$6.61	$30.90	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $89.13 / $144.54	Professional		$48.98	$89.13	$144.54
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $33.11 / $57.54	Professional	26	$21.88	$33.11	$57.54
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $58.88 / $95.50	Professional	TC	$26.92	$58.88	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $69.18 / $89.13	Professional		$54.95	$69.18	$89.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $30.20 / $39.81	Professional	26	$23.99	$30.20	$39.81
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $38.90 / $48.98	Professional	TC	$31.62	$38.90	$48.98
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $125.89 / $141.25	Professional		$100.00	$125.89	$141.25
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $47.86 / $56.23	Professional	26	$38.02	$47.86	$56.23
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $95.50 / $158.49	Professional		$95.50	$95.50	$158.49
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $87.10 / $218.78	Professional		$33.88	$87.10	$218.78
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $36.31 / $54.95	Professional	26	$27.54	$36.31	$54.95
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $63.10 / $100.00	Professional	TC	$38.90	$63.10	$100.00
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $87.10 / $151.36	Professional		$60.26	$87.10	$151.36
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $31.62 / $54.95	Professional	26	$20.89	$31.62	$54.95
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $57.54 / $100.00	Professional	TC	$38.02	$57.54	$100.00

Virginia rates for HCPCS 76604