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. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $234.42 / $281.84	Facility		$38.02	$234.42	$281.84
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.00 / $10.00 / $10.00	Facility	26	$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $35.48 / $72.44	Professional		$16.22	$35.48	$72.44
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $16.98 / $32.36	Professional	26	$10.00	$16.98	$32.36
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $32.36 / $72.44	Professional	TC	$22.91	$32.36	$72.44
Avera Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $64.57 / $194.98	Facility		$37.15	$64.57	$194.98
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $61.66 / $66.07	Professional		$37.15	$61.66	$66.07
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $87.10 / $109.65	Professional		$69.18	$87.10	$109.65
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $24.55 / $30.90	Professional	26	$19.50	$24.55	$30.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $63.10 / $77.62	Professional	TC	$50.12	$63.10	$77.62
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $53.70 / $79.43	Facility		$40.74	$53.70	$79.43
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $48.98 / $234.42	Professional		$33.11	$48.98	$234.42
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $18.62 / $31.62	Professional	26	$10.23	$18.62	$31.62
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $34.67 / $190.55	Professional	TC	$21.88	$34.67	$190.55
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $75.86 / $77.62	Professional		$70.79	$75.86	$77.62
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $22.91 / $26.30	Professional	26	$20.89	$22.91	$26.30
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $50.12 / $54.95	Professional	TC	$50.12	$50.12	$54.95
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $23.44 / $23.44	Professional	26	$23.44	$23.44	$23.44
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $50.12 / $50.12	Professional	TC	$50.12	$50.12	$50.12
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $52.48 / $70.79	Professional		$38.90	$52.48	$70.79
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $17.78 / $20.89	Professional	26	$13.18	$17.78	$20.89
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $36.31 / $50.12	Professional	TC	$26.92	$36.31	$50.12
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $56.23 / $83.18	Professional		$34.67	$56.23	$83.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $18.20 / $28.18	Professional	26	$10.72	$18.20	$28.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $38.02 / $57.54	Professional	TC	$23.99	$38.02	$57.54
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $74.13 / $74.13	Professional		$63.10	$74.13	$74.13
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $21.38 / $21.38	Professional	26	$18.20	$21.38	$21.38
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $52.48 / $52.48	Professional	TC	$44.67	$52.48	$52.48

South Dakota rates for HCPCS 71100