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 $194.98 / $2,290.87 / $4,365.16	Facility		$194.98	$2,290.87	$4,365.16
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $37.15 / $37.15 / $37.15	Facility	26	$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $213.80 / $354.81	Professional		$162.18	$213.80	$354.81
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $39.81 / $91.20	Professional	26	$36.31	$39.81	$91.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $158.49 / $263.03	Professional	TC	$112.20	$158.49	$263.03
Avera Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $194.98 / $346.74	Facility		$165.96	$194.98	$346.74
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $398.11 / $501.19	Professional		$354.81	$398.11	$501.19
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $89.13 / $112.20	Professional	26	$83.18	$89.13	$112.20
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $275.42 / $309.03 / $389.05	Professional	TC	$275.42	$309.03	$389.05
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $239.88 / $281.84 / $512.86	Facility		$239.88	$281.84	$512.86
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $223.87 / $1,548.82	Professional		$134.90	$223.87	$1,548.82
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $77.62 / $912.01	Professional	26	$43.65	$77.62	$912.01
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $151.36 / $1,122.02	Professional	TC	$87.10	$151.36	$1,122.02
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $316.23 / $363.08	Professional		$229.09	$316.23	$363.08
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $83.18 / $95.50	Professional	26	$75.86	$83.18	$95.50
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $223.87 / $275.42	Professional	TC	$144.54	$223.87	$275.42
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $83.18 / $83.18	Professional	26	$83.18	$83.18	$83.18
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $144.54 / $144.54	Professional	TC	$144.54	$144.54	$144.54
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $275.42 / $323.59	Professional		$154.88	$275.42	$323.59
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $67.61 / $75.86	Professional	26	$53.70	$67.61	$75.86
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $208.93 / $245.47	Professional	TC	$100.00	$208.93	$245.47
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 $141.25 / $288.40 / $457.09	Professional		$141.25	$288.40	$457.09
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $79.43 / $112.20	Professional	26	$47.86	$79.43	$112.20
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $104.71 / $218.78 / $346.74	Professional	TC	$104.71	$218.78	$346.74
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $380.19 / $389.05	Professional		$316.23	$380.19	$389.05
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $89.13 / $91.20	Professional	26	$75.86	$89.13	$91.20
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $288.40 / $302.00	Professional	TC	$245.47	$288.40	$302.00

South Dakota rates for HCPCS 51797