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 $83.18 / $416.87 / $912.01	Facility		$83.18	$416.87	$912.01
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $28.84 / $38.02 / $208.93	Facility	26	$28.84	$38.02	$208.93
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $95.50 / $323.59	Professional		$51.29	$95.50	$323.59
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $53.70 / $147.91	Professional	26	$28.84	$53.70	$147.91
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $50.12 / $154.88 / $794.33	Professional	50	$50.12	$154.88	$794.33
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $53.70 / $107.15	Professional	TC	$43.65	$53.70	$107.15
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $295.12 / $346.74 / $436.52	Facility		$295.12	$346.74	$436.52
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $114.82 / $169.82	Professional		$81.28	$114.82	$169.82
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $42.66 / $63.10	Professional	26	$30.90	$42.66	$63.10
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $123.03 / $173.78 / $263.03	Professional	50	$123.03	$173.78	$263.03
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $70.79 / $104.71	Professional	TC	$50.12	$70.79	$104.71
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $85.11 / $194.98	Professional		$33.88	$85.11	$194.98
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $34.67 / $38.90	Professional	26	$30.90	$34.67	$38.90
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $60.26 / $67.61	Professional	TC	$51.29	$60.26	$67.61
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $234.42 / $524.81	Facility		$128.82	$234.42	$524.81
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $37.15 / $52.48	Facility	26	$7.94	$37.15	$52.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $107.15 / $186.21	Professional		$70.79	$107.15	$186.21
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $39.81 / $70.79	Professional	26	$26.30	$39.81	$70.79
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $64.57 / $117.49	Professional	TC	$42.66	$64.57	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $95.50 / $125.89	Professional		$75.86	$95.50	$125.89
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $33.88 / $45.71	Professional	26	$27.54	$33.88	$45.71
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $61.66 / $81.28	Professional	TC	$48.98	$61.66	$81.28
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $69.18 / $69.18	Professional	26	$69.18	$69.18	$69.18
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $107.15 / $169.82	Facility		$74.13	$107.15	$169.82
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $61.66 / $138.04	Professional		$61.66	$61.66	$138.04
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.90 / $74.13 / $165.96	Facility		$38.90	$74.13	$165.96
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $95.50 / $234.42	Professional		$40.74	$95.50	$234.42
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $44.67 / $64.57	Professional	26	$34.67	$44.67	$64.57
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $69.18 / $107.15	Professional	TC	$53.70	$69.18	$107.15
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $114.82 / $186.21	Facility		$47.86	$114.82	$186.21
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $95.50 / $165.96	Professional		$69.18	$95.50	$165.96
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $38.02 / $64.57	Professional	26	$25.70	$38.02	$64.57
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Professional	50	$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $60.26 / $104.71	Professional	TC	$42.66	$60.26	$104.71

Virginia rates for HCPCS 76642