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. Small sample — interpret with caution. 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 $91.20 / $109.65 / $173.78	Professional		$91.20	$109.65	$173.78
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $79.43 / $112.20	Professional	26	$69.18	$79.43	$112.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $30.20 / $38.02	Professional	TC	$19.05	$30.20	$38.02
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $120.23 / $223.87	Professional		$93.33	$120.23	$223.87
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $87.10 / $158.49	Professional	26	$67.61	$87.10	$158.49
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $33.88 / $64.57	Professional	TC	$24.55	$33.88	$64.57
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $107.15 / $128.82	Professional		$31.62	$107.15	$128.82
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $85.11 / $87.10	Professional	26	$75.86	$85.11	$87.10
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $35.48 / $38.02	Professional	TC	$31.62	$35.48	$38.02
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $18.62 / $87.10 / $123.03	Facility	26	$18.62	$87.10	$123.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $117.49 / $223.87	Professional		$91.20	$117.49	$223.87
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $89.13 / $158.49	Professional	26	$67.61	$89.13	$158.49
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $29.51 / $61.66	Professional	TC	$19.95	$29.51	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $107.15 / $138.04	Professional		$81.28	$107.15	$138.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $75.86 / $97.72	Professional	26	$58.88	$75.86	$97.72
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $31.62 / $40.74	Professional	TC	$22.91	$31.62	$40.74
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $138.04 / $204.17	Professional		$109.65	$138.04	$204.17
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $114.82 / $144.54	Professional	26	$91.20	$114.82	$144.54
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $95.50 / $138.04	Professional		$20.42	$95.50	$138.04
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $87.10 / $120.23	Professional	26	$72.44	$87.10	$120.23
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $28.18 / $51.29	Professional	TC	$17.78	$28.18	$51.29
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $89.13 / $151.36	Professional		$70.79	$89.13	$151.36
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $67.61 / $114.82	Professional	26	$54.95	$67.61	$114.82
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $22.39 / $38.02	Professional	TC	$14.13	$22.39	$38.02

Virginia rates for HCPCS 92540