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 Professional Modifier Typical Low / Median / Typical High $46.77 / $61.66 / $114.82	Professional		$46.77	$61.66	$114.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $30.90 / $91.20	Professional	26	$18.20	$30.90	$91.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $37.15 / $66.07	Professional	TC	$28.18	$37.15	$66.07
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $29.51 / $61.66	Professional		$29.51	$29.51	$61.66
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $12.02 / $25.12	Professional	26	$12.02	$12.02	$25.12
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $17.78 / $37.15	Professional	TC	$17.78	$17.78	$37.15
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $72.44 / $85.11	Professional		$22.91	$72.44	$85.11
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $24.55 / $28.84	Professional	26	$22.39	$24.55	$28.84
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $51.29 / $57.54	Professional	TC	$46.77	$51.29	$57.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $40.74 / $112.20	Professional		$32.36	$40.74	$112.20
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $15.85 / $50.12	Professional	26	$12.30	$15.85	$50.12
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $26.30 / $66.07	Professional	TC	$17.38	$26.30	$66.07
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $107.15 / $117.49	Professional		$83.18	$107.15	$117.49
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $32.36 / $37.15	Professional	26	$26.30	$32.36	$37.15
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $72.44 / $81.28	Professional	TC	$56.23	$72.44	$81.28
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $69.18 / $128.82	Professional		$33.88	$69.18	$128.82
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $33.11 / $53.70	Professional	26	$26.92	$33.11	$53.70
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $47.86 / $91.20	Professional	TC	$30.90	$47.86	$91.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $69.18 / $125.89	Professional		$38.02	$69.18	$125.89
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $28.84 / $58.88	Professional	26	$17.38	$28.84	$58.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $40.74 / $72.44	Professional	TC	$17.78	$40.74	$72.44

Virginia rates for HCPCS 88104