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 $21.88 / $48.98 / $151.36	Facility	$21.88	$48.98	$151.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $21.88 / $31.62	Professional	$18.20	$21.88	$31.62
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $20.89 / $28.84	Professional	$15.85	$20.89	$28.84
CareFirst Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $30.20 / $66.07	Professional	$25.12	$30.20	$66.07
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $72.44 / $204.17	Facility	$50.12	$72.44	$204.17
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $28.18 / $54.95	Professional	$21.88	$28.18	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $33.11 / $40.74	Professional	$28.18	$33.11	$40.74
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $38.90 / $39.81	Professional	$31.62	$38.90	$39.81
Medcost Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.05 / $28.84 / $48.98	Facility	$19.05	$28.84	$48.98
Medcost Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $33.88	Professional	$33.88	$33.88	$33.88
Sentara Facility/Professional Facility Modifier Typical Low / Median / Typical High $24.55 / $35.48 / $123.03	Facility	$24.55	$35.48	$123.03
Sentara Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $35.48 / $123.03	Professional	$24.55	$35.48	$123.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $33.88 / $35.48	Facility	$30.90	$33.88	$35.48
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $31.62 / $40.74	Professional	$22.39	$31.62	$40.74

Virginia rates for HCPCS 97542