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 $45.71 / $67.61 / $117.49	Professional		$45.71	$67.61	$117.49
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $21.88 / $43.65	Professional	26	$16.60	$21.88	$43.65
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $42.66 / $74.13	Professional	TC	$28.84	$42.66	$74.13
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 $10.96 / $10.96 / $22.91	Professional	26	$10.96	$10.96	$22.91
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $18.62 / $38.90	Professional	TC	$18.62	$18.62	$38.90
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $72.44 / $85.11	Professional		$22.39	$72.44	$85.11
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $21.38 / $23.99	Professional	26	$20.42	$21.38	$23.99
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $53.70 / $60.26	Professional	TC	$52.48	$53.70	$60.26
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $44.67 / $123.03	Professional		$29.51	$44.67	$123.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $15.14 / $48.98	Professional	26	$11.48	$15.14	$48.98
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $29.51 / $75.86	Professional	TC	$15.85	$29.51	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $95.50 / $112.20	Professional		$79.43	$95.50	$112.20
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $28.84 / $33.11	Professional	26	$23.99	$28.84	$33.11
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $67.61 / $81.28	Professional	TC	$56.23	$67.61	$81.28
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $70.79 / $134.90	Professional		$30.90	$70.79	$134.90
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $29.51 / $50.12	Professional	26	$23.99	$29.51	$50.12
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $44.67 / $102.33	Professional	TC	$25.12	$44.67	$102.33
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $72.44 / $117.49	Professional		$36.31	$72.44	$117.49
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $26.92 / $53.70	Professional	26	$16.22	$26.92	$53.70
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $42.66 / $74.13	Professional	TC	$18.20	$42.66	$74.13

Virginia rates for HCPCS 88160