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 $6.03 / $19.05 / $51.29	Facility	$6.03	$19.05	$51.29
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $6.03 / $8.91	Professional	$6.03	$6.03	$8.91
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.51 / $8.51 / $36.31	Facility	$8.51	$8.51	$36.31
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.27 / $4.27 / $6.61	Professional	$4.27	$4.27	$6.61
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $40.74 / $60.26	Professional	$25.70	$40.74	$60.26
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.71 / $22.39 / $38.90	Facility	$8.71	$22.39	$38.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.68 / $6.31 / $15.14	Professional	$4.68	$6.31	$15.14
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $10.23 / $12.59	Professional	$8.51	$10.23	$12.59
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $14.45 / $16.98	Professional	$7.08	$14.45	$16.98
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.59 / $9.33 / $9.33	Facility	$7.59	$9.33	$9.33
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.59 / $14.45 / $18.20	Professional	$7.59	$14.45	$18.20
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.76 / $12.59 / $10,000.00	Facility	$6.76	$12.59	$10,000.00
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.76 / $12.30 / $10,000.00	Professional	$6.76	$12.30	$10,000.00
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.63 / $8.51 / $14.79	Facility	$3.63	$8.51	$14.79
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.63 / $5.13 / $9.12	Professional	$3.63	$5.13	$9.12

Virginia rates for HCPCS 85540