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 $67.61 / $87.10 / $169.82	Professional		$67.61	$87.10	$169.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $208.93 / $776.25	Professional	26	$54.95	$208.93	$776.25
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $36.31 / $63.10	Professional	TC	$21.88	$36.31	$63.10
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $39.81 / $83.18	Professional		$39.81	$39.81	$83.18
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $26.92 / $54.95	Professional	26	$26.92	$26.92	$54.95
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.49 / $13.49 / $28.18	Professional	TC	$13.49	$13.49	$28.18
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $95.50 / $117.49	Professional		$40.74	$95.50	$117.49
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $60.26 / $72.44	Professional	26	$56.23	$60.26	$72.44
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $45.71 / $52.48	Professional	TC	$42.66	$45.71	$52.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $60.26 / $165.96	Professional		$43.65	$60.26	$165.96
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $36.31 / $117.49	Professional	26	$27.54	$36.31	$117.49
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.79 / $22.91 / $61.66	Professional	TC	$14.79	$22.91	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $120.23 / $138.04	Professional		$95.50	$120.23	$138.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $69.18 / $79.43	Professional	26	$57.54	$69.18	$79.43
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $50.12 / $57.54	Professional	TC	$38.90	$50.12	$57.54
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $125.89 / $194.98	Facility		$85.11	$125.89	$194.98
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $91.20 / $165.96	Facility		$35.48	$91.20	$165.96
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $109.65 / $229.09	Professional		$35.48	$109.65	$229.09
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $89.13 / $138.04	Professional	26	$64.57	$89.13	$138.04
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $56.23 / $95.50	Professional	TC	$32.36	$56.23	$95.50
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $100.00 / $177.83	Professional		$60.26	$100.00	$177.83
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $64.57 / $131.83	Professional	26	$38.90	$64.57	$131.83
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $34.67 / $58.88	Professional	TC	$17.78	$34.67	$58.88

Virginia rates for HCPCS 88331