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 $75.86 / $87.10 / $173.78	Facility	26	$75.86	$87.10	$173.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $162.18 / $239.88	Professional		$134.90	$162.18	$239.88
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $81.28 / $147.91	Professional	26	$70.79	$81.28	$147.91
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $83.18 / $125.89	Professional	TC	$57.54	$83.18	$125.89
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $208.93 / $389.05	Professional		$151.36	$208.93	$389.05
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $104.71 / $194.98	Professional	26	$75.86	$104.71	$194.98
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $104.71 / $194.98	Professional	TC	$74.13	$104.71	$194.98
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $169.82 / $331.13	Professional		$87.10	$169.82	$331.13
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $85.11 / $120.23	Professional	26	$75.86	$85.11	$120.23
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $91.20 / $120.23	Professional	TC	$77.62	$91.20	$120.23
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $128.82 / $128.82 / $128.82	Facility	26	$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $204.17 / $338.84	Professional		$128.82	$204.17	$338.84
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $109.65 / $169.82	Professional	26	$77.62	$109.65	$169.82
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $104.71 / $177.83	Professional	TC	$42.66	$104.71	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $186.21 / $234.42	Professional		$147.91	$186.21	$234.42
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $89.13 / $117.49	Professional	26	$70.79	$89.13	$117.49
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $95.50 / $123.03	Professional	TC	$75.86	$95.50	$123.03
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $165.96 / $208.93	Professional		$131.83	$165.96	$208.93
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $125.89 / $151.36	Professional	26	$100.00	$125.89	$151.36
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $154.88 / $398.11	Professional		$72.44	$154.88	$398.11
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $109.65 / $173.78	Professional	26	$79.43	$109.65	$173.78
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $102.33 / $186.21	Professional	TC	$46.77	$102.33	$186.21
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $190.55 / $338.84	Professional		$107.15	$190.55	$338.84
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $102.33 / $169.82	Professional	26	$66.07	$102.33	$169.82
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $91.20 / $181.97	Professional	TC	$34.67	$91.20	$181.97

Virginia rates for HCPCS 95861