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 $21.88 / $25.70 / $44.67	Professional		$21.88	$25.70	$44.67
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $20.89 / $25.70	Professional	26	$18.20	$20.89	$25.70
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.02 / $3.98 / $25.70	Professional	TC	$3.02	$3.98	$25.70
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $28.18 / $53.70	Professional		$22.39	$28.18	$53.70
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $22.91 / $43.65	Professional	26	$18.62	$22.91	$43.65
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.63 / $4.79 / $9.33	Professional	TC	$3.63	$4.79	$9.33
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $28.84 / $30.90	Professional		$20.89	$28.84	$30.90
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $23.44 / $25.12	Professional	26	$20.89	$23.44	$25.12
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $4.68 / $5.25 / $5.75	Professional	TC	$4.68	$5.25	$5.75
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.01 / $23.44 / $33.88	Facility	26	$5.01	$23.44	$33.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $32.36 / $67.61	Professional		$21.38	$32.36	$67.61
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $23.99 / $42.66	Professional	26	$18.20	$23.99	$42.66
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.39 / $5.89 / $38.90	Professional	TC	$3.39	$5.89	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $25.70 / $33.11	Professional		$19.50	$25.70	$33.11
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $20.89 / $26.92	Professional	26	$16.22	$20.89	$26.92
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.31 / $4.68 / $6.03	Professional	TC	$3.31	$4.68	$6.03
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $58.88 / $74.13	Professional		$46.77	$58.88	$74.13
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $33.11 / $38.02	Professional	26	$26.92	$33.11	$38.02
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $28.18 / $58.88	Professional		$10.72	$28.18	$58.88
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $22.39 / $33.11	Professional	26	$17.78	$22.39	$33.11
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $4.07 / $6.92 / $38.90	Professional	TC	$4.07	$6.92	$38.90
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $29.51 / $57.54	Professional		$17.78	$29.51	$57.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $18.20 / $30.90	Professional	26	$14.13	$18.20	$30.90
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2.88 / $4.68 / $33.88	Professional	TC	$2.88	$4.68	$33.88

Virginia rates for HCPCS 92541