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 $102.33 / $102.33 / $102.33	Facility	26	$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $426.58 / $660.69	Professional		$331.13	$426.58	$660.69
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $204.17 / $549.54	Professional	26	$95.50	$204.17	$549.54
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $338.84 / $1,584.89	Professional	TC	$234.42	$338.84	$1,584.89
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $831.76 / $1,023.29	Professional		$660.69	$831.76	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $190.55 / $234.42 / $295.12	Professional	26	$190.55	$234.42	$295.12
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $467.74 / $588.84 / $741.31	Professional	TC	$467.74	$588.84	$741.31
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $676.08 / $6,025.60	Professional		$338.84	$676.08	$6,025.60
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $169.82 / $891.25	Professional	26	$107.15	$169.82	$891.25
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $309.03 / $512.86 / $5,495.41	Professional	TC	$309.03	$512.86	$5,495.41
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $741.31 / $891.25	Professional		$676.08	$741.31	$891.25
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $204.17 / $218.78 / $245.47	Professional	26	$204.17	$218.78	$245.47
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $478.63 / $512.86 / $630.96	Professional	TC	$478.63	$512.86	$630.96
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $218.78 / $218.78 / $218.78	Professional	26	$218.78	$218.78	$218.78
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $575.44 / $575.44 / $575.44	Professional	TC	$575.44	$575.44	$575.44
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $660.69 / $1,000.00	Professional		$446.68	$660.69	$1,000.00
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $125.89 / $173.78 / $204.17	Professional	26	$125.89	$173.78	$204.17
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $331.13 / $467.74 / $870.96	Professional	TC	$331.13	$467.74	$870.96
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $724.44 / $1,000.00	Professional		$416.87	$724.44	$1,000.00
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $181.97 / $269.15	Professional	26	$93.33	$181.97	$269.15
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $524.81 / $776.25	Professional	TC	$295.12	$524.81	$776.25
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $776.25 / $912.01 / $912.01	Professional		$776.25	$912.01	$912.01
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $223.87 / $269.15 / $269.15	Professional	26	$223.87	$269.15	$269.15
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $537.03 / $630.96 / $630.96	Professional	TC	$537.03	$630.96	$630.96

South Dakota rates for HCPCS 70543