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 $8.91 / $8.91 / $8.91	Facility	26	$8.91	$8.91	$8.91
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $19.05 / $31.62	Professional		$15.85	$19.05	$31.62
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $10.00 / $48.98	Professional	26	$8.91	$10.00	$48.98
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $7.08 / $8.91 / $16.60	Professional	TC	$7.08	$8.91	$16.60
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $33.11 / $33.88	Professional		$33.11	$33.11	$33.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $44.67 / $54.95	Professional		$35.48	$44.67	$54.95
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $22.91 / $28.84	Professional	26	$18.20	$22.91	$28.84
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $21.38 / $26.92	Professional	TC	$16.98	$21.38	$26.92
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $30.90 / $208.93	Professional		$18.20	$30.90	$208.93
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $17.78 / $104.71	Professional	26	$10.23	$17.78	$104.71
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $9.55 / $15.14 / $128.82	Professional	TC	$9.55	$15.14	$128.82
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $39.81 / $43.65	Professional		$19.05	$39.81	$43.65
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $21.38 / $24.55	Professional	26	$19.50	$21.38	$24.55
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $17.38 / $19.05	Professional	TC	$16.22	$17.38	$19.05
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $21.88 / $21.88	Professional	26	$21.88	$21.88	$21.88
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $17.38 / $17.38	Professional	TC	$17.38	$17.38	$17.38
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $32.36 / $37.15	Professional		$22.39	$32.36	$37.15
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $16.98 / $19.50	Professional	26	$12.02	$16.98	$19.50
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.23 / $14.79 / $17.78	Professional	TC	$10.23	$14.79	$17.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $34.67 / $51.29	Professional		$21.38	$34.67	$51.29
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $17.78 / $27.54	Professional	26	$10.23	$17.78	$27.54
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $9.33 / $16.22 / $23.99	Professional	TC	$9.33	$16.22	$23.99
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $38.02 / $38.02	Professional		$32.36	$38.02	$38.02
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $20.42 / $20.42	Professional	26	$16.98	$20.42	$20.42
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $18.20 / $18.20	Professional	TC	$15.49	$18.20	$18.20

South Dakota rates for HCPCS 70355