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 $39.81 / $52.48 / $52.48	Facility	26	$39.81	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $169.82 / $398.11	Professional		$125.89	$169.82	$398.11
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $50.12 / $144.54	Professional	26	$45.71	$50.12	$144.54
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $100.00 / $512.86	Professional	TC	$79.43	$100.00	$512.86
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $239.88 / $354.81	Professional		$158.49	$239.88	$354.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $323.59 / $407.38	Professional		$257.04	$323.59	$407.38
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $120.23 / $147.91	Professional	26	$95.50	$120.23	$147.91
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $204.17 / $257.04	Professional	TC	$162.18	$204.17	$257.04
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $288.40 / $794.33	Professional		$138.04	$288.40	$794.33
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $102.33 / $199.53	Professional	26	$56.23	$102.33	$199.53
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $194.98 / $1,380.38	Professional	TC	$120.23	$194.98	$1,380.38
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $288.40 / $354.81	Professional		$269.15	$288.40	$354.81
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $107.15 / $134.90	Professional	26	$102.33	$107.15	$134.90
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $181.97 / $218.78	Professional	TC	$165.96	$181.97	$218.78
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $120.23 / $120.23 / $120.23	Professional	26	$120.23	$120.23	$120.23
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $204.17 / $204.17	Professional	TC	$204.17	$204.17	$204.17
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $263.03 / $363.08	Professional		$173.78	$263.03	$363.08
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $83.18 / $97.72	Professional	26	$63.10	$83.18	$97.72
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $162.18 / $288.40	Professional	TC	$112.20	$162.18	$288.40
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $295.12 / $457.09	Professional		$162.18	$295.12	$457.09
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $89.13 / $128.82	Professional	26	$56.23	$89.13	$128.82
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $190.55 / $281.84	Professional	TC	$102.33	$190.55	$281.84
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $309.03 / $309.03	Professional		$257.04	$309.03	$309.03
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $114.82 / $114.82	Professional	26	$97.72	$114.82	$114.82
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $190.55 / $190.55	Professional	TC	$162.18	$190.55	$190.55

South Dakota rates for HCPCS 71250