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 $15.14 / $15.14 / $15.14	Facility	26	$15.14	$15.14	$15.14
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $54.95 / $75.86	Professional		$47.86	$54.95	$75.86
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $16.98 / $54.95	Professional	26	$14.45	$16.98	$54.95
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $39.81 / $257.04	Professional	TC	$33.88	$39.81	$257.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $125.89 / $158.49	Professional		$100.00	$125.89	$158.49
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $35.48 / $44.67	Professional	26	$28.84	$35.48	$44.67
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $89.13 / $112.20	Professional	TC	$72.44	$89.13	$112.20
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $72.44 / $338.84	Professional		$47.86	$72.44	$338.84
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $26.30 / $117.49	Professional	26	$15.49	$26.30	$117.49
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $51.29 / $288.40	Professional	TC	$31.62	$51.29	$288.40
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $109.65 / $112.20	Professional		$102.33	$109.65	$112.20
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $33.11 / $38.02	Professional	26	$30.90	$33.11	$38.02
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $72.44 / $79.43	Professional	TC	$70.79	$72.44	$79.43
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $33.88 / $33.88	Professional	26	$33.88	$33.88	$33.88
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Professional	TC	$70.79	$70.79	$70.79
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $77.62 / $102.33	Professional		$58.88	$77.62	$102.33
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $25.70 / $29.51	Professional	26	$18.62	$25.70	$29.51
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $53.70 / $72.44	Professional	TC	$38.02	$53.70	$72.44
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $91.20 / $120.23	Professional		$54.95	$91.20	$120.23
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $28.18 / $40.74	Professional	26	$15.49	$28.18	$40.74
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $63.10 / $83.18	Professional	TC	$38.02	$63.10	$83.18
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $104.71 / $104.71	Professional		$89.13	$104.71	$104.71
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $30.90 / $30.90	Professional	26	$26.30	$30.90	$30.90
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $74.13 / $74.13	Professional	TC	$63.10	$74.13	$74.13

South Dakota rates for HCPCS 71111