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 $95.50 / $120.23 / $158.49	Professional		$95.50	$120.23	$158.49
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $15.14 / $19.05	Professional	26	$12.88	$15.14	$19.05
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $102.33 / $131.83	Professional	TC	$83.18	$102.33	$131.83
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $134.90 / $275.42	Professional		$97.72	$134.90	$275.42
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $16.60 / $30.90	Professional	26	$13.18	$16.60	$30.90
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $147.91 / $199.53 / $416.87	Professional	50	$147.91	$199.53	$416.87
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $117.49 / $245.47	Professional	TC	$85.11	$117.49	$245.47
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $147.91 / $169.82	Professional		$14.79	$147.91	$169.82
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $16.60 / $18.62	Professional	26	$14.79	$16.60	$18.62
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $141.25 / $158.49	Professional	TC	$128.82	$141.25	$158.49
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.55 / $16.60 / $23.99	Facility	26	$3.55	$16.60	$23.99
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $128.82 / $239.88	Professional		$91.20	$128.82	$239.88
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $16.98 / $30.90	Professional	26	$13.18	$16.98	$30.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $114.82 / $213.80	Professional	TC	$79.43	$114.82	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $147.91 / $186.21	Professional		$104.71	$147.91	$186.21
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $15.14 / $19.50	Professional	26	$11.48	$15.14	$19.50
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $131.83 / $169.82	Professional	TC	$93.33	$131.83	$169.82
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $112.20 / $229.09	Professional		$89.13	$112.20	$229.09
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $23.44 / $27.54	Professional	26	$18.62	$23.44	$27.54
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $95.50 / $154.88	Professional		$15.85	$95.50	$154.88
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $16.22 / $23.44	Professional	26	$14.13	$16.22	$23.44
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $112.20 / $177.83	Professional	TC	$77.62	$112.20	$177.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $91.20 / $158.49	Professional		$69.18	$91.20	$158.49
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $13.18 / $21.88	Professional	26	$10.00	$13.18	$21.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $77.62 / $131.83	Professional	TC	$57.54	$77.62	$131.83

Virginia rates for HCPCS 92546