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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $42.66 / $190.55 / $602.56	Facility	$42.66	$190.55	$602.56
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $107.15 / $165.96	Professional	$38.90	$107.15	$165.96
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $125.89 / $309.03	Professional	$45.71	$125.89	$309.03
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $53.70 / $97.72	Professional	$48.98	$53.70	$97.72
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $389.05 / $1,122.02	Facility	$107.15	$389.05	$1,122.02
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $128.82 / $251.19	Professional	$44.67	$128.82	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $158.49 / $234.42	Professional	$123.03	$158.49	$234.42
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $245.47 / $331.13	Professional	$199.53	$245.47	$331.13
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $44.67 / $125.89 / $251.19	Facility	$44.67	$125.89	$251.19
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $524.81	Professional	$134.90	$134.90	$524.81
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $63.10 / $109.65	Facility	$41.69	$63.10	$109.65
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $190.55 / $309.03	Professional	$128.82	$190.55	$309.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $31.62 / $575.44 / $2,041.74	Facility	$31.62	$575.44	$2,041.74
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $97.72 / $245.47	Professional	$39.81	$97.72	$245.47

Virginia rates for HCPCS 96542