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 $10.96 / $10.96 / $12.88	Facility	26	$10.96	$10.96	$12.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $40.74 / $57.54	Professional		$36.31	$40.74	$57.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $12.02 / $24.55	Professional	26	$10.72	$12.02	$24.55
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $28.18 / $39.81	Professional	TC	$23.99	$28.18	$39.81
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $56.23 / $83.18	Professional		$41.69	$56.23	$83.18
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $15.14 / $22.91	Professional	26	$11.48	$15.14	$22.91
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $40.74 / $61.66	Professional	TC	$30.20	$40.74	$61.66
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $53.70 / $104.71	Professional		$38.90	$53.70	$104.71
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $14.79 / $22.91	Professional	26	$13.18	$14.79	$22.91
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $46.77 / $79.43	Professional	TC	$38.90	$46.77	$79.43
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.95 / $13.80 / $19.50	Facility	26	$2.95	$13.80	$19.50
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $52.48 / $85.11	Professional		$40.74	$52.48	$85.11
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $15.49 / $24.55	Professional	26	$12.02	$15.49	$24.55
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $37.15 / $61.66	Professional	TC	$28.84	$37.15	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $54.95 / $77.62	Professional		$44.67	$54.95	$77.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $13.49 / $20.42	Professional	26	$10.72	$13.49	$20.42
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $41.69 / $56.23	Professional	TC	$33.88	$41.69	$56.23
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $77.62 / $77.62	Professional		$56.23	$77.62	$77.62
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $22.91 / $22.91	Professional	26	$17.78	$22.91	$22.91
Medcost Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $38.90 / $38.90	Professional	TC	$38.90	$38.90	$38.90
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $42.66 / $91.20	Professional		$42.66	$42.66	$91.20
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $43.65 / $74.13	Professional		$15.14	$43.65	$74.13
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $14.79 / $22.91	Professional	26	$12.02	$14.79	$22.91
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $34.67 / $54.95	Professional	TC	$27.54	$34.67	$54.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $52.48 / $81.28	Professional		$34.67	$52.48	$81.28
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $14.79 / $22.91	Professional	26	$10.23	$14.79	$22.91
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $37.15 / $56.23	Professional	TC	$24.55	$37.15	$56.23

Virginia rates for HCPCS 94728