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 $93.33 / $93.33 / $109.65	Facility	26	$93.33	$93.33	$109.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $275.42 / $426.58	Professional		$229.09	$275.42	$426.58
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $100.00 / $131.83	Professional	26	$83.18	$100.00	$131.83
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $173.78 / $275.42	Professional	TC	$141.25	$173.78	$275.42
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $389.05 / $724.44	Professional		$281.84	$389.05	$724.44
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $131.83 / $245.47	Professional	26	$95.50	$131.83	$245.47
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $257.04 / $478.63	Professional	TC	$186.21	$257.04	$478.63
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $323.59 / $602.56	Professional		$147.91	$323.59	$602.56
CareFirst Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $107.15 / $151.36	Professional	26	$95.50	$107.15	$151.36
CareFirst Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $218.78 / $309.03	Professional	TC	$208.93	$218.78	$309.03
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Facility	26	$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $371.54 / $645.65	Professional		$208.93	$371.54	$645.65
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $138.04 / $208.93	Professional	26	$97.72	$138.04	$208.93
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $104.71 / $239.88 / $416.87	Professional	TC	$104.71	$239.88	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $354.81 / $446.68	Professional		$288.40	$354.81	$446.68
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $112.20 / $147.91	Professional	26	$89.13	$112.20	$147.91
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $245.47 / $309.03	Professional	TC	$194.98	$245.47	$309.03
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $288.40 / $363.08	Professional		$251.19	$288.40	$363.08
Medcost Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $128.82 / $162.18 / $162.18	Professional	26	$128.82	$162.18	$162.18
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $302.00 / $630.96	Professional		$109.65	$302.00	$630.96
Sentara Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $138.04 / $218.78	Professional	26	$100.00	$138.04	$218.78
Sentara Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $263.03 / $436.52	Professional	TC	$141.25	$263.03	$436.52
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $323.59 / $549.54	Professional		$194.98	$323.59	$549.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $128.82 / $213.80	Professional	26	$83.18	$128.82	$213.80
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $199.53 / $346.74	Professional	TC	$95.50	$199.53	$346.74

Virginia rates for HCPCS 95957