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 $162.18 / $2,398.83 / $4,365.16	Facility		$162.18	$2,398.83	$4,365.16
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $977.24 / $977.24 / $6,165.95	Facility	50	$977.24	$977.24	$6,165.95
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $194.98 / $1,862.09	Professional		$147.91	$194.98	$1,862.09
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $4,466.84 / $4,466.84 / $4,466.84	Professional	50	$4,466.84	$4,466.84	$4,466.84
Avera Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $316.23 / $1,778.28	Facility		$154.88	$316.23	$1,778.28
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $363.08 / $457.09	Professional		$346.74	$363.08	$457.09
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $302.00 / $2,691.53	Facility		$190.55	$302.00	$2,691.53
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $281.84 / $2,511.89	Professional		$147.91	$281.84	$2,511.89
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $346.74 / $363.08	Professional		$323.59	$346.74	$363.08
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $269.15 / $309.03	Professional		$186.21	$269.15	$309.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,691.53 / $2,691.53 / $3,630.78	Facility		$2,691.53	$2,691.53	$3,630.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $316.23 / $436.52	Professional		$162.18	$316.23	$436.52
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $346.74 / $363.08	Professional		$295.12	$346.74	$363.08

South Dakota rates for HCPCS 31240