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 $61.66 / $190.55 / $645.65	Facility		$61.66	$190.55	$645.65
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $34.67 / $34.67 / $34.67	Facility	26	$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $87.10 / $229.09	Professional		$54.95	$87.10	$229.09
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $38.02 / $107.15	Professional	26	$17.38	$38.02	$107.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $33.11 / $162.18	Professional	TC	$25.12	$33.11	$162.18
Avera Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $74.13 / $131.83	Facility		$61.66	$74.13	$131.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $151.36 / $190.55	Professional		$134.90	$151.36	$190.55
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $85.11 / $104.71	Professional	26	$75.86	$85.11	$104.71
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $67.61 / $83.18	Professional	TC	$58.88	$67.61	$83.18
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $58.88 / $100.00 / $501.19	Facility		$58.88	$100.00	$501.19
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $117.49 / $1,318.26	Professional		$60.26	$117.49	$1,318.26
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $63.10 / $630.96	Professional	26	$33.88	$63.10	$630.96
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $52.48 / $870.96	Professional	TC	$26.92	$52.48	$870.96
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $154.88 / $158.49	Professional		$138.04	$154.88	$158.49
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $89.13 / $91.20	Professional	26	$79.43	$89.13	$91.20
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $67.61 / $67.61	Professional	TC	$58.88	$67.61	$67.61
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $138.04 / $154.88	Professional		$138.04	$138.04	$154.88
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $79.43 / $85.11	Professional	26	$79.43	$79.43	$85.11
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $58.88 / $70.79	Professional	TC	$58.88	$58.88	$70.79
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $117.49 / $263.03	Professional		$74.13	$117.49	$263.03
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $70.79 / $125.89	Professional	26	$42.66	$70.79	$125.89
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $51.29 / $165.96	Professional	TC	$32.36	$51.29	$165.96
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 $75.86 / $138.04 / $218.78	Professional		$75.86	$138.04	$218.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $75.86 / $107.15	Professional	26	$41.69	$75.86	$107.15
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $63.10 / $141.25	Professional	TC	$34.67	$63.10	$141.25
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $144.54 / $151.36	Professional		$123.03	$144.54	$151.36
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $83.18 / $85.11	Professional	26	$70.79	$83.18	$85.11
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $63.10 / $64.57	Professional	TC	$53.70	$63.10	$64.57

South Dakota rates for HCPCS 51784