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 $42.66 / $56.23 / $56.23	Facility	26	$42.66	$56.23	$56.23
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $251.19 / $524.81	Professional		$154.88	$251.19	$524.81
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $53.70 / $154.88	Professional	26	$50.12	$53.70	$154.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $309.03 / $2,041.74	Professional	TC	$107.15	$309.03	$2,041.74
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $302.00 / $537.03	Professional		$190.55	$302.00	$537.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $407.38 / $512.86	Professional		$323.59	$407.38	$512.86
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $128.82 / $162.18	Professional	26	$102.33	$128.82	$162.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $275.42 / $346.74	Professional	TC	$223.87	$275.42	$346.74
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $354.81 / $1,905.46	Professional		$169.82	$354.81	$1,905.46
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $112.20 / $213.80	Professional	26	$74.13	$112.20	$213.80
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $251.19 / $1,584.89	Professional	TC	$162.18	$251.19	$1,584.89
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $363.08 / $436.52	Professional		$338.84	$363.08	$436.52
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $117.49 / $144.54	Professional	26	$109.65	$117.49	$144.54
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $245.47 / $295.12	Professional	TC	$223.87	$245.47	$295.12
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $128.82 / $128.82 / $128.82	Professional	26	$128.82	$128.82	$128.82
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $275.42 / $275.42 / $275.42	Professional	TC	$275.42	$275.42	$275.42
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $331.13 / $436.52	Professional		$223.87	$331.13	$436.52
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $93.33 / $107.15	Professional	26	$67.61	$93.33	$107.15
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $151.36 / $223.87 / $363.08	Professional	TC	$151.36	$223.87	$363.08
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $371.54 / $575.44	Professional		$204.17	$371.54	$575.44
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $107.15 / $151.36	Professional	26	$61.66	$107.15	$151.36
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $251.19 / $371.54	Professional	TC	$141.25	$251.19	$371.54
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $380.19 / $380.19	Professional		$323.59	$380.19	$380.19
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $123.03 / $123.03	Professional	26	$104.71	$123.03	$123.03
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $257.04 / $257.04	Professional	TC	$218.78	$257.04	$257.04

South Dakota rates for HCPCS 71260