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 $25.70 / $28.84 / $48.98	Professional		$25.70	$28.84	$48.98
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $23.99 / $32.36	Professional	26	$16.98	$23.99	$32.36
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.02 / $3.98 / $28.84	Professional	TC	$3.02	$3.98	$28.84
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $32.36 / $60.26	Professional		$25.70	$32.36	$60.26
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $26.92 / $51.29	Professional	26	$20.42	$26.92	$51.29
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.63 / $4.68 / $10.23	Professional	TC	$3.63	$4.68	$10.23
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.79 / $29.51 / $35.48	Professional		$4.79	$29.51	$35.48
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $27.54 / $30.20	Professional	26	$25.12	$27.54	$30.20
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $4.37 / $4.37 / $5.37	Professional	TC	$4.37	$4.37	$5.37
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.03 / $28.18 / $39.81	Facility	26	$6.03	$28.18	$39.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $35.48 / $72.44	Professional		$25.12	$35.48	$72.44
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $25.12 / $51.29	Professional	26	$18.20	$25.12	$51.29
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.39 / $5.75 / $44.67	Professional	TC	$3.39	$5.75	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $29.51 / $38.02	Professional		$22.39	$29.51	$38.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $25.12 / $32.36	Professional	26	$19.50	$25.12	$32.36
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.09 / $4.37 / $5.62	Professional	TC	$3.09	$4.37	$5.62
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $60.26 / $74.13	Professional		$54.95	$60.26	$74.13
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $26.92 / $45.71	Professional	26	$21.88	$26.92	$45.71
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $29.51 / $61.66	Professional		$10.00	$29.51	$61.66
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $24.55 / $38.02	Professional	26	$16.60	$24.55	$38.02
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.72 / $6.76 / $44.67	Professional	TC	$3.72	$6.76	$44.67
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $33.88 / $61.66	Professional		$20.89	$33.88	$61.66
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $19.95 / $34.67	Professional	26	$13.80	$19.95	$34.67
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2.88 / $4.68 / $38.90	Professional	TC	$2.88	$4.68	$38.90

Virginia rates for HCPCS 92542