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 $12.88 / $12.88 / $15.14	Facility	26	$12.88	$12.88	$15.14
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $41.69 / $89.13	Professional		$33.88	$41.69	$89.13
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $15.14 / $33.88	Professional	26	$12.02	$15.14	$33.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $25.12 / $39.81	Professional	TC	$20.89	$25.12	$39.81
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $48.98 / $74.13	Professional		$36.31	$48.98	$74.13
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $17.78 / $27.54	Professional	26	$13.49	$17.78	$27.54
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $31.62 / $46.77	Professional	TC	$23.44	$31.62	$46.77
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $41.69 / $81.28	Professional		$14.79	$41.69	$81.28
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $14.13 / $22.91	Professional	26	$13.49	$14.13	$22.91
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $28.84 / $52.48	Professional	TC	$26.30	$28.84	$52.48
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.47 / $16.22 / $22.91	Facility	26	$3.47	$16.22	$22.91
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $46.77 / $77.62	Professional		$35.48	$46.77	$77.62
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $17.78 / $28.84	Professional	26	$13.80	$17.78	$28.84
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $29.51 / $48.98	Professional	TC	$21.88	$29.51	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $47.86 / $67.61	Professional		$38.90	$47.86	$67.61
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $15.49 / $23.99	Professional	26	$12.59	$15.49	$23.99
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $32.36 / $43.65	Professional	TC	$26.30	$32.36	$43.65
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $47.86 / $60.26	Professional		$38.90	$47.86	$60.26
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $22.91 / $26.92	Professional	26	$18.20	$22.91	$26.92
Medcost Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Professional	TC	$35.48	$35.48	$35.48
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $83.18	Professional		$33.88	$33.88	$83.18
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $39.81 / $74.13	Professional		$17.78	$39.81	$74.13
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $17.78 / $26.30	Professional	26	$14.13	$17.78	$26.30
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $28.84 / $46.77	Professional	TC	$23.44	$28.84	$46.77
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $44.67 / $72.44	Professional		$30.90	$44.67	$72.44
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $16.98 / $26.92	Professional	26	$11.75	$16.98	$26.92
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $27.54 / $45.71	Professional	TC	$19.05	$27.54	$45.71

Virginia rates for HCPCS 94375