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 $10.00 / $10.00 / $10.00	Facility	26	$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $41.69 / $52.48	Professional		$37.15	$41.69	$52.48
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $10.00 / $12.02	Professional	26	$8.91	$10.00	$12.02
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $30.90 / $38.02	Professional	TC	$26.92	$30.90	$38.02
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $97.72 / $123.03	Professional		$77.62	$97.72	$123.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $23.99 / $29.51	Professional	26	$19.05	$23.99	$29.51
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $74.13 / $93.33	Professional	TC	$58.88	$74.13	$93.33
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $53.70 / $269.15	Professional		$35.48	$53.70	$269.15
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $18.20 / $85.11	Professional	26	$10.72	$18.20	$85.11
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $38.90 / $245.47	Professional	TC	$24.55	$38.90	$245.47
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $83.18 / $87.10	Professional		$81.28	$83.18	$87.10
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $21.88 / $25.70	Professional	26	$20.89	$21.88	$25.70
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $58.88 / $66.07	Professional	TC	$57.54	$58.88	$66.07
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
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 $58.88 / $58.88 / $58.88	Professional	TC	$58.88	$58.88	$58.88
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $60.26 / $79.43	Professional		$44.67	$60.26	$79.43
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $17.38 / $19.95	Professional	26	$12.88	$17.38	$19.95
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $42.66 / $58.88	Professional	TC	$31.62	$42.66	$58.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $63.10 / $91.20	Professional		$39.81	$63.10	$91.20
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $18.62 / $28.18	Professional	26	$10.72	$18.62	$28.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $45.71 / $67.61	Professional	TC	$28.84	$45.71	$67.61
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $83.18 / $83.18	Professional		$70.79	$83.18	$83.18
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $20.89 / $20.89	Professional	26	$17.78	$20.89	$20.89
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $61.66 / $61.66	Professional	TC	$52.48	$61.66	$61.66

South Dakota rates for HCPCS 71130