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 $44.67 / $1,071.52 / $2,290.87	Facility		$44.67	$1,071.52	$2,290.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $83.18 / $190.55	Professional		$43.65	$83.18	$190.55
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $151.36 / $245.47 / $245.47	Professional	50	$151.36	$245.47	$245.47
Avera Facility/Professional Facility Modifier Typical Low / Median / Typical High $44.67 / $52.48 / $91.20	Facility		$44.67	$52.48	$91.20
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $169.82 / $173.78	Professional		$169.82	$169.82	$173.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $173.78 / $245.47	Professional		$95.50	$173.78	$245.47
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $109.65 / $169.82	Facility		$64.57	$109.65	$169.82
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $154.88 / $616.60	Professional		$74.13	$154.88	$616.60
Medica Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $302.00 / $302.00 / $302.00	Professional	50	$302.00	$302.00	$302.00
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $109.65 / $169.82	Professional		$104.71	$109.65	$169.82
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $102.33 / $162.18	Professional		$95.50	$102.33	$162.18
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $112.20 / $162.18	Professional		$75.86	$112.20	$162.18
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $95.50 / $204.17	Professional		$54.95	$95.50	$204.17
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $109.65 / $194.98	Professional		$89.13	$109.65	$194.98

South Dakota rates for HCPCS 20604