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 Typical Low / Median / Typical High $25.12 / $63.10 / $186.21	Facility		$25.12	$63.10	$186.21
Aetna Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $69.18 / $72.44 / $158.49	Facility	CO	$69.18	$72.44	$158.49
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $53.70 / $102.33 / $151.36	Facility	CQ	$53.70	$102.33	$151.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $25.70 / $58.88	Professional		$19.05	$25.70	$58.88
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Professional	CO	$27.54	$27.54	$27.54
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $20.42 / $26.92 / $26.92	Professional	CQ	$20.42	$26.92	$26.92
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $23.99 / $33.88	Professional		$17.78	$23.99	$33.88
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $33.88 / $79.43	Professional		$27.54	$33.88	$79.43
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $72.44 / $204.17	Facility		$52.48	$72.44	$204.17
Cigna Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Facility	CO	$44.67	$44.67	$44.67
Cigna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Facility	CQ	$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $30.20 / $61.66	Professional		$23.44	$30.20	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $34.67 / $42.66	Professional		$28.84	$34.67	$42.66
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $41.69 / $41.69	Professional		$33.88	$41.69	$41.69
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.38 / $30.90 / $53.70	Facility		$21.38	$30.90	$53.70
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.91 / $37.15 / $147.91	Facility		$22.91	$37.15	$147.91
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $37.15 / $147.91	Professional		$22.91	$37.15	$147.91
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $35.48 / $36.31	Facility		$32.36	$35.48	$36.31
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $33.11 / $43.65	Professional		$23.99	$33.11	$43.65

Virginia rates for HCPCS 97535