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 $97.72 / $97.72 / $97.72	Facility	26	$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $380.19 / $724.44	Professional		$323.59	$380.19	$724.44
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $109.65 / $165.96	Professional	26	$97.72	$109.65	$165.96
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $151.36 / $323.59 / $398.11	Professional	52	$151.36	$323.59	$398.11
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $229.09 / $281.84 / $407.38	Professional	TC	$229.09	$281.84	$407.38
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $812.83 / $1,023.29	Professional		$741.31	$812.83	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $223.87 / $234.42 / $295.12	Professional	26	$223.87	$234.42	$295.12
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $512.86 / $575.44 / $724.44	Professional	TC	$512.86	$575.44	$724.44
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $630.96 / $2,691.53	Professional		$316.23	$630.96	$2,691.53
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $190.55 / $776.25	Professional	26	$114.82	$190.55	$776.25
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $426.58 / $1,905.46	Professional	TC	$213.80	$426.58	$1,905.46
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $741.31 / $776.25	Professional		$645.65	$741.31	$776.25
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $218.78 / $223.87 / $245.47	Professional	26	$218.78	$223.87	$245.47
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $426.58 / $512.86 / $524.81	Professional	TC	$426.58	$512.86	$524.81
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $218.78 / $218.78 / $218.78	Professional	26	$218.78	$218.78	$218.78
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $426.58 / $426.58 / $426.58	Professional	TC	$426.58	$426.58	$426.58
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $575.44 / $660.69	Professional		$457.09	$575.44	$660.69
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $131.83 / $177.83 / $199.53	Professional	26	$131.83	$177.83	$199.53
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $407.38 / $457.09	Professional	TC	$302.00	$407.38	$457.09
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $660.69 / $954.99	Professional		$316.23	$660.69	$954.99
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $117.49 / $208.93 / $295.12	Professional	26	$117.49	$208.93	$295.12
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $457.09 / $676.08	Professional	TC	$213.80	$457.09	$676.08
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $758.58 / $794.33	Professional		$645.65	$758.58	$794.33
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $194.98 / $229.09 / $239.88	Professional	26	$194.98	$229.09	$239.88
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $457.09 / $537.03 / $562.34	Professional	TC	$457.09	$537.03	$562.34

South Dakota rates for HCPCS 51728