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 $87.10 / $87.10 / $87.10	Facility	26	$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $436.52 / $660.69	Professional		$323.59	$436.52	$660.69
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $95.50 / $426.58	Professional	26	$81.28	$95.50	$426.58
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $331.13 / $630.96	Professional	TC	$245.47	$331.13	$630.96
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $851.14 / $1,047.13	Professional		$676.08	$851.14	$1,047.13
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $158.49 / $199.53 / $245.47	Professional	26	$158.49	$199.53	$245.47
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $512.86 / $645.65 / $812.83	Professional	TC	$512.86	$645.65	$812.83
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $851.14 / $5,370.32	Professional		$338.84	$851.14	$5,370.32
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $151.36 / $812.83	Professional	26	$89.13	$151.36	$812.83
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $776.25 / $4,897.79	Professional	TC	$363.08	$776.25	$4,897.79
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $741.31 / $954.99	Professional		$691.83	$741.31	$954.99
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $169.82 / $181.97 / $208.93	Professional	26	$169.82	$181.97	$208.93
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $524.81 / $562.34 / $741.31	Professional	TC	$524.81	$562.34	$741.31
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 $186.21 / $186.21 / $186.21	Professional	26	$186.21	$186.21	$186.21
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $616.60 / $616.60 / $616.60	Professional	TC	$616.60	$616.60	$616.60
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $676.08 / $1,202.26	Professional		$467.74	$676.08	$1,202.26
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $141.25 / $162.18	Professional	26	$104.71	$141.25	$162.18
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $512.86 / $1,096.48	Professional	TC	$354.81	$512.86	$1,096.48
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $794.33 / $1,318.26	Professional		$426.58	$794.33	$1,318.26
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $151.36 / $223.87	Professional	26	$91.20	$151.36	$223.87
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $602.56 / $1,122.02	Professional	TC	$323.59	$602.56	$1,122.02
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 $186.21 / $223.87 / $223.87	Professional	26	$186.21	$223.87	$223.87
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $588.84 / $691.83 / $691.83	Professional	TC	$588.84	$691.83	$691.83

South Dakota rates for HCPCS 70549