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. Small sample — interpret with caution. 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 $39.81 / $39.81 / $39.81	Facility	$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $39.81 / $51.29	Professional	$33.11	$39.81	$51.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $93.33 / $114.82	Professional	$87.10	$93.33	$114.82
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $93.33 / $112.20	Facility	$47.86	$93.33	$112.20
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $74.13 / $1,023.29	Professional	$37.15	$74.13	$1,023.29
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $87.10 / $97.72	Professional	$85.11	$87.10	$97.72
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Professional	$85.11	$85.11	$85.11
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $67.61 / $77.62	Professional	$53.70	$67.61	$77.62
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 $42.66 / $79.43 / $114.82	Professional	$42.66	$79.43	$114.82
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $89.13 / $93.33	Professional	$75.86	$89.13	$93.33

South Dakota rates for HCPCS 38214