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 $12.59 / $42.66 / $95.50	Professional		$12.59	$42.66	$95.50
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $19.05 / $48.98	Professional	26	$12.30	$19.05	$48.98
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $44.67 / $208.93	Professional	TC	$27.54	$44.67	$208.93
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $74.13 / $75.86	Professional		$42.66	$74.13	$75.86
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $100.00 / $125.89	Professional		$79.43	$100.00	$125.89
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $29.51 / $36.31	Professional	26	$23.44	$29.51	$36.31
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $70.79 / $89.13	Professional	TC	$56.23	$70.79	$89.13
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $54.95 / $269.15	Professional		$35.48	$54.95	$269.15
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $25.70 / $51.29	Professional	26	$13.49	$25.70	$51.29
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $36.31 / $229.09	Professional	TC	$23.44	$36.31	$229.09
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $87.10 / $89.13	Professional		$83.18	$87.10	$89.13
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $26.92 / $31.62	Professional	26	$25.70	$26.92	$31.62
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $57.54 / $63.10	Professional	TC	$56.23	$57.54	$63.10
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Professional	26	$27.54	$27.54	$27.54
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $56.23 / $56.23	Professional	TC	$56.23	$56.23	$56.23
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $60.26 / $81.28	Professional		$46.77	$60.26	$81.28
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $21.38 / $24.55	Professional	26	$15.85	$21.38	$24.55
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $40.74 / $57.54	Professional	TC	$30.20	$40.74	$57.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $67.61 / $93.33	Professional		$41.69	$67.61	$93.33
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $23.44 / $33.88	Professional	26	$13.49	$23.44	$33.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $44.67 / $64.57	Professional	TC	$27.54	$44.67	$64.57
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $85.11 / $85.11	Professional		$72.44	$85.11	$85.11
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $25.70 / $25.70	Professional	26	$21.88	$25.70	$25.70
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $58.88 / $58.88	Professional	TC	$50.12	$58.88	$58.88

South Dakota rates for HCPCS 71101