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 $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $512.86 / $660.69	Professional		$436.52	$512.86	$660.69
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $120.23 / $208.93	Professional	26	$102.33	$120.23	$208.93
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $338.84 / $389.05 / $457.09	Professional	TC	$338.84	$389.05	$457.09
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $912.01 / $1,148.15 / $1,445.44	Professional		$912.01	$1,148.15	$1,445.44
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $199.53 / $251.19 / $309.03	Professional	26	$199.53	$251.19	$309.03
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $724.44 / $891.25 / $1,122.02	Professional	TC	$724.44	$891.25	$1,122.02
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $933.25 / $6,025.60	Professional		$478.63	$933.25	$6,025.60
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $181.97 / $933.25	Professional	26	$112.20	$181.97	$933.25
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $467.74 / $794.33 / $5,370.32	Professional	TC	$467.74	$794.33	$5,370.32
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $1,023.29 / $1,096.48	Professional		$933.25	$1,023.29	$1,096.48
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $213.80 / $229.09 / $263.03	Professional	26	$213.80	$229.09	$263.03
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $724.44 / $794.33 / $831.76	Professional	TC	$724.44	$794.33	$831.76
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $234.42 / $234.42 / $234.42	Professional	26	$234.42	$234.42	$234.42
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $776.25 / $776.25 / $776.25	Professional	TC	$776.25	$776.25	$776.25
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $933.25 / $1,174.90	Professional		$630.96	$933.25	$1,174.90
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $131.83 / $181.97 / $218.78	Professional	26	$131.83	$181.97	$218.78
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $489.78 / $707.95 / $1,023.29	Professional	TC	$489.78	$707.95	$1,023.29
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $1,000.00 / $1,348.96	Professional		$575.44	$1,000.00	$1,348.96
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $190.55 / $281.84	Professional	26	$109.65	$190.55	$281.84
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $457.09 / $831.76 / $1,047.13	Professional	TC	$457.09	$831.76	$1,047.13
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,071.52 / $1,258.93 / $1,258.93	Professional		$1,071.52	$1,258.93	$1,258.93
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $239.88 / $281.84 / $281.84	Professional	26	$239.88	$281.84	$281.84
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $831.76 / $977.24 / $977.24	Professional	TC	$831.76	$977.24	$977.24

South Dakota rates for HCPCS 71552