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 $40.74 / $40.74 / $47.86	Facility	26	$40.74	$40.74	$47.86
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $85.11 / $120.23	Professional		$69.18	$85.11	$120.23
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $44.67 / $74.13	Professional	26	$37.15	$44.67	$74.13
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $40.74 / $57.54	Professional	TC	$33.11	$40.74	$57.54
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $114.82 / $213.80	Professional		$81.28	$114.82	$213.80
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $57.54 / $107.15	Professional	26	$41.69	$57.54	$107.15
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $58.88 / $109.65	Professional	TC	$40.74	$58.88	$109.65
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $85.11 / $173.78	Professional		$40.74	$85.11	$173.78
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $40.74 / $61.66	Professional	26	$36.31	$40.74	$61.66
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $45.71 / $64.57	Professional	TC	$40.74	$45.71	$64.57
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Facility	26	$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $107.15 / $186.21	Professional		$72.44	$107.15	$186.21
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $60.26 / $93.33	Professional	26	$42.66	$60.26	$93.33
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $53.70 / $93.33	Professional	TC	$22.91	$53.70	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $102.33 / $131.83	Professional		$81.28	$102.33	$131.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $47.86 / $64.57	Professional	26	$38.90	$47.86	$64.57
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $53.70 / $67.61	Professional	TC	$43.65	$53.70	$67.61
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $89.13 / $93.33	Professional		$72.44	$89.13	$93.33
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $70.79 / $70.79	Professional	26	$56.23	$70.79	$70.79
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $87.10 / $181.97	Professional		$40.74	$87.10	$181.97
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $60.26 / $95.50	Professional	26	$43.65	$60.26	$95.50
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $56.23 / $91.20	Professional	TC	$26.30	$56.23	$91.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $100.00 / $169.82	Professional		$60.26	$100.00	$169.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $57.54 / $91.20	Professional	26	$37.15	$57.54	$91.20
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $44.67 / $83.18	Professional	TC	$22.39	$44.67	$83.18

Virginia rates for HCPCS 95921