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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Facility	26	$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $331.13 / $426.58	Professional		$295.12	$331.13	$426.58
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $87.10 / $107.15	Professional	26	$79.43	$87.10	$107.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $234.42 / $323.59	Professional	TC	$208.93	$234.42	$323.59
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $660.69 / $831.76	Professional		$602.56	$660.69	$831.76
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $181.97 / $190.55 / $239.88	Professional	26	$181.97	$190.55	$239.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $426.58 / $478.63 / $588.84	Professional	TC	$426.58	$478.63	$588.84
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $524.81 / $2,238.72	Professional		$263.03	$524.81	$2,238.72
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $162.18 / $691.83	Professional	26	$89.13	$162.18	$691.83
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $363.08 / $1,584.89	Professional	TC	$199.53	$363.08	$1,584.89
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $602.56 / $630.96	Professional		$537.03	$602.56	$630.96
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $173.78 / $181.97 / $204.17	Professional	26	$173.78	$181.97	$204.17
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $426.58 / $436.52	Professional	TC	$363.08	$426.58	$436.52
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Professional	26	$173.78	$173.78	$173.78
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $363.08 / $363.08	Professional	TC	$363.08	$363.08	$363.08
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $457.09 / $537.03	Professional		$316.23	$457.09	$537.03
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $144.54 / $162.18	Professional	26	$112.20	$144.54	$162.18
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $323.59 / $380.19	Professional	TC	$223.87	$323.59	$380.19
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $562.34 / $794.33	Professional		$316.23	$562.34	$794.33
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $169.82 / $239.88	Professional	26	$89.13	$169.82	$239.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $380.19 / $562.34	Professional	TC	$213.80	$380.19	$562.34
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $630.96 / $660.69	Professional		$537.03	$630.96	$660.69
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $162.18 / $190.55 / $194.98	Professional	26	$162.18	$190.55	$194.98
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $371.54 / $436.52 / $457.09	Professional	TC	$371.54	$436.52	$457.09

South Dakota rates for HCPCS 51726