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 $12.88 / $12.88 / $12.88	Facility	26	$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $48.98 / $64.57	Professional		$42.66	$48.98	$64.57
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $12.88 / $20.89	Professional	26	$12.02	$12.88	$20.89
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $34.67 / $60.26	Professional	TC	$30.90	$34.67	$60.26
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $114.82 / $141.25	Professional		$91.20	$114.82	$141.25
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $30.90 / $38.90	Professional	26	$24.55	$30.90	$38.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $83.18 / $104.71	Professional	TC	$66.07	$83.18	$104.71
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $63.10 / $436.52	Professional		$42.66	$63.10	$436.52
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $22.39 / $97.72	Professional	26	$13.80	$22.39	$97.72
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $44.67 / $426.58	Professional	TC	$28.18	$44.67	$426.58
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $97.72 / $102.33	Professional		$93.33	$97.72	$102.33
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $28.18 / $33.11	Professional	26	$26.92	$28.18	$33.11
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $66.07 / $74.13	Professional	TC	$64.57	$66.07	$74.13
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $28.84 / $28.84	Professional	26	$28.84	$28.84	$28.84
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $66.07 / $66.07	Professional	TC	$66.07	$66.07	$66.07
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $69.18 / $93.33	Professional		$52.48	$69.18	$93.33
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $21.88 / $25.70	Professional	26	$16.60	$21.88	$25.70
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $47.86 / $66.07	Professional	TC	$36.31	$47.86	$66.07
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $74.13 / $104.71	Professional		$46.77	$74.13	$104.71
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $23.99 / $35.48	Professional	26	$13.80	$23.99	$35.48
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $51.29 / $75.86	Professional	TC	$33.11	$51.29	$75.86
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $95.50 / $95.50	Professional		$81.28	$95.50	$95.50
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $26.92 / $26.92	Professional	26	$22.91	$26.92	$26.92
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $69.18 / $69.18	Professional	TC	$58.88	$69.18	$69.18

South Dakota rates for HCPCS 70200