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 $52.48 / $83.18 / $104.71	Facility	26	$52.48	$83.18	$104.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $380.19 / $660.69	Professional		$302.00	$380.19	$660.69
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $61.66 / $158.49	Professional	26	$50.12	$61.66	$158.49
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $323.59 / $524.81	Professional	TC	$251.19	$323.59	$524.81
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $524.81 / $977.24	Professional		$371.54	$524.81	$977.24
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $74.13 / $138.04	Professional	26	$53.70	$74.13	$138.04
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $316.23 / $446.68 / $831.76	Professional	TC	$316.23	$446.68	$831.76
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $446.68 / $758.58	Professional		$85.11	$446.68	$758.58
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $58.88 / $83.18	Professional	26	$53.70	$58.88	$83.18
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $380.19 / $549.54	Professional	TC	$363.08	$380.19	$549.54
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $89.13 / $89.13 / $89.13	Facility	26	$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $457.09 / $831.76	Professional		$239.88	$457.09	$831.76
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $75.86 / $117.49	Professional	26	$54.95	$75.86	$117.49
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $398.11 / $724.44	Professional	TC	$165.96	$398.11	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $478.63 / $602.56	Professional		$389.05	$478.63	$602.56
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $61.66 / $83.18	Professional	26	$50.12	$61.66	$83.18
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $338.84 / $416.87 / $524.81	Professional	TC	$338.84	$416.87	$524.81
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $245.47 / $309.03	Professional		$199.53	$245.47	$309.03
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $89.13 / $100.00	Professional	26	$70.79	$89.13	$100.00
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $380.19 / $812.83	Professional		$70.79	$380.19	$812.83
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $75.86 / $120.23	Professional	26	$54.95	$75.86	$120.23
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $407.38 / $660.69	Professional	TC	$194.98	$407.38	$660.69
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $398.11 / $741.31	Professional		$190.55	$398.11	$741.31
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $72.44 / $117.49	Professional	26	$45.71	$72.44	$117.49
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $338.84 / $630.96	Professional	TC	$141.25	$338.84	$630.96

Virginia rates for HCPCS 95816