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 $7.94 / $7.94 / $7.94	Facility	26	$7.94	$7.94	$7.94
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $38.90 / $50.12	Professional		$34.67	$38.90	$50.12
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $8.91 / $10.47	Professional	26	$7.08	$8.91	$10.47
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $30.20 / $36.31	Professional	TC	$26.92	$30.20	$36.31
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $91.20 / $114.82	Professional		$74.13	$91.20	$114.82
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $19.95 / $24.55	Professional	26	$15.85	$19.95	$24.55
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $72.44 / $91.20	Professional	TC	$57.54	$72.44	$91.20
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $48.98 / $295.12	Professional		$31.62	$48.98	$295.12
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $14.45 / $54.95	Professional	26	$9.12	$14.45	$54.95
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $38.02 / $281.84	Professional	TC	$23.44	$38.02	$281.84
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $75.86 / $83.18	Professional		$75.86	$75.86	$83.18
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $18.62 / $21.38	Professional	26	$17.38	$18.62	$21.38
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $58.88 / $64.57	Professional	TC	$54.95	$58.88	$64.57
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $19.05 / $19.05	Professional	26	$19.05	$19.05	$19.05
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $56.23 / $56.23	Professional	TC	$56.23	$56.23	$56.23
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $54.95 / $75.86	Professional		$38.02	$54.95	$75.86
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $14.79 / $16.98	Professional	26	$10.72	$14.79	$16.98
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $40.74 / $58.88	Professional	TC	$27.54	$40.74	$58.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $58.88 / $85.11	Professional		$31.62	$58.88	$85.11
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $16.22 / $22.91	Professional	26	$9.12	$16.22	$22.91
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $40.74 / $67.61	Professional	TC	$23.99	$40.74	$67.61
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $77.62 / $77.62	Professional		$66.07	$77.62	$77.62
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $17.38 / $17.38	Professional	26	$14.79	$17.38	$17.38
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $60.26 / $60.26	Professional	TC	$51.29	$60.26	$60.26

South Dakota rates for HCPCS 70100