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 $33.11 / $39.81 / $67.61	Professional		$33.11	$39.81	$67.61
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $14.45 / $30.20	Professional	26	$7.76	$14.45	$30.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $40.74 / $83.18	Professional	TC	$26.92	$40.74	$83.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $89.13 / $112.20	Professional		$72.44	$89.13	$112.20
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $19.05 / $23.99	Professional	26	$15.14	$19.05	$23.99
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $70.79 / $89.13	Professional	TC	$56.23	$70.79	$89.13
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $48.98 / $245.47	Professional		$32.36	$48.98	$245.47
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $13.18 / $61.66	Professional	26	$7.59	$13.18	$61.66
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $38.02 / $190.55	Professional	TC	$23.99	$38.02	$190.55
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $75.86 / $81.28	Professional		$72.44	$75.86	$81.28
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $17.78 / $20.42	Professional	26	$16.22	$17.78	$20.42
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $57.54 / $63.10	Professional	TC	$56.23	$57.54	$63.10
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $18.20 / $18.20	Professional	26	$18.20	$18.20	$18.20
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 $38.90 / $53.70 / $72.44	Professional		$38.90	$53.70	$72.44
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $13.80 / $16.22	Professional	26	$10.47	$13.80	$16.22
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $40.74 / $57.54	Professional	TC	$30.20	$40.74	$57.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $57.54 / $83.18	Professional		$32.36	$57.54	$83.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $14.79 / $21.88	Professional	26	$8.71	$14.79	$21.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $40.74 / $66.07	Professional	TC	$23.99	$40.74	$66.07
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $75.86 / $75.86	Professional		$64.57	$75.86	$75.86
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $16.98 / $16.98	Professional	26	$14.45	$16.98	$16.98
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $58.88 / $58.88	Professional	TC	$50.12	$58.88	$58.88

South Dakota rates for HCPCS 70160