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 Facility Modifier 26 Typical Low / Median / Typical High $2.00 / $4.79 / $11.75	Facility	26	$2.00	$4.79	$11.75
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $19.95 / $40.74	Professional		$12.88	$19.95	$40.74
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.00 / $3.98 / $7.94	Professional	26	$2.00	$3.98	$7.94
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.96 / $15.14 / $25.12	Professional	TC	$10.96	$15.14	$25.12
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $19.50 / $29.51	Professional		$14.45	$19.50	$29.51
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.51 / $3.47 / $5.50	Professional	26	$2.51	$3.47	$5.50
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.75 / $15.85 / $23.99	Professional	TC	$11.75	$15.85	$23.99
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.88 / $15.49 / $30.20	Professional		$2.88	$15.49	$30.20
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.57 / $3.16 / $5.37	Professional	26	$2.57	$3.16	$5.37
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $14.13 / $26.30	Professional	TC	$14.13	$14.13	$26.30
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $0.65 / $3.02 / $4.37	Facility	26	$0.65	$3.02	$4.37
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $26.92 / $41.69	Professional		$16.22	$26.92	$41.69
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.82 / $5.89 / $8.91	Professional	26	$2.82	$5.89	$8.91
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.18 / $20.89 / $33.11	Professional	TC	$13.18	$20.89	$33.11
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $19.05 / $40.74	Professional		$15.14	$19.05	$40.74
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.34 / $2.95 / $6.31	Professional	26	$2.34	$2.95	$6.31
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.88 / $16.22 / $31.62	Professional	TC	$12.88	$16.22	$31.62
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $29.51 / $32.36	Professional		$23.44	$29.51	$32.36
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.92 / $7.76 / $8.51	Professional	26	$6.92	$7.76	$8.51
Medcost Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $28.18 / $28.18	Professional	TC	$28.18	$28.18	$28.18
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $52.48	Professional		$33.88	$33.88	$52.48
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.46 / $22.91 / $41.69	Professional		$6.46	$22.91	$41.69
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.88 / $5.89 / $8.71	Professional	26	$2.88	$5.89	$8.71
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.30 / $19.50 / $28.84	Professional	TC	$12.30	$19.50	$28.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $26.92 / $42.66	Professional		$17.78	$26.92	$42.66
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.72 / $5.75 / $9.12	Professional	26	$3.72	$5.75	$9.12
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $20.89 / $33.88	Professional	TC	$14.13	$20.89	$33.88

Virginia rates for HCPCS 94200