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 $1,047.13 / $2,884.03 / $5,623.41	Facility		$1,047.13	$2,884.03	$5,623.41
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $524.81 / $2,137.96	Professional		$234.42	$524.81	$2,137.96
Aetna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $117.49 / $123.03 / $144.54	Professional	53	$117.49	$123.03	$144.54
Avera Facility/Professional Facility Modifier Typical Low / Median / Typical High $239.88 / $501.19 / $1,412.54	Facility		$239.88	$501.19	$1,412.54
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $501.19 / $537.03	Professional		$239.88	$501.19	$537.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $707.95 / $1,318.26	Professional		$457.09	$707.95	$1,318.26
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $309.03 / $794.33 / $2,454.71	Facility		$309.03	$794.33	$2,454.71
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $776.25 / $3,467.37	Professional		$467.74	$776.25	$3,467.37
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $616.60 / $1,000.00	Professional		$549.54	$616.60	$1,000.00
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $524.81 / $912.01	Professional		$524.81	$524.81	$912.01
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $616.60 / $870.96	Professional		$416.87	$616.60	$870.96
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $549.54 / $1,047.13	Professional		$323.59	$549.54	$1,047.13
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $588.84 / $1,047.13	Professional		$478.63	$588.84	$1,047.13

South Dakota rates for HCPCS 45385