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 $30.90 / $91.20 / $194.98	Facility	$30.90	$91.20	$194.98
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $37.15 / $60.26	Professional	$30.20	$37.15	$60.26
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $41.69 / $177.83	Facility	$41.69	$41.69	$177.83
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $20.42 / $36.31	Professional	$20.42	$20.42	$36.31
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $93.33 / $199.53	Professional	$33.88	$93.33	$199.53
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $102.33 / $190.55	Facility	$66.07	$102.33	$190.55
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $30.90 / $87.10	Professional	$22.91	$30.90	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $50.12 / $60.26	Professional	$41.69	$50.12	$60.26
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Professional	$81.28	$81.28	$81.28
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $69.18 / $104.71	Facility	$37.15	$69.18	$104.71
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $87.10	Professional	$33.88	$33.88	$87.10
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $53.70 / $10,000.00	Facility	$37.15	$53.70	$10,000.00
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $54.95 / $10,000.00	Professional	$37.15	$54.95	$10,000.00
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $41.69 / $72.44	Facility	$34.67	$41.69	$72.44
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $23.44 / $46.77	Professional	$16.60	$23.44	$46.77

Virginia rates for HCPCS 87542