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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $77.62 / $134.90	Facility	$26.92	$77.62	$134.90
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $33.88 / $83.18	Professional	$25.12	$33.88	$83.18
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $154.88	Facility	$36.31	$36.31	$154.88
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $14.79 / $25.70	Professional	$14.79	$14.79	$25.70
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $177.83 / $363.08	Professional	$33.11	$177.83	$363.08
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $87.10 / $165.96	Facility	$37.15	$87.10	$165.96
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $22.91 / $60.26	Professional	$18.20	$22.91	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $40.74 / $51.29	Professional	$36.31	$40.74	$51.29
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $48.98 / $165.96	Facility	$28.84	$48.98	$165.96
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $77.62 / $165.96	Professional	$23.99	$77.62	$165.96
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $52.48 / $10,000.00	Facility	$33.11	$52.48	$10,000.00
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $52.48 / $10,000.00	Professional	$33.11	$52.48	$10,000.00
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.88 / $36.31 / $43.65	Facility	$21.88	$36.31	$43.65
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $18.20 / $40.74	Professional	$15.49	$18.20	$40.74

Virginia rates for HCPCS 81242