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 $7.08 / $7.08 / $7.08	Facility	26	$7.08	$7.08	$7.08
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $25.12 / $56.23	Professional		$21.88	$25.12	$56.23
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $13.18 / $21.38	Professional	26	$6.76	$13.18	$21.38
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $16.98 / $46.77	Professional	TC	$15.14	$16.98	$46.77
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $57.54 / $70.79	Professional		$45.71	$57.54	$70.79
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $17.38 / $21.88	Professional	26	$13.80	$17.38	$21.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $39.81 / $50.12	Professional	TC	$31.62	$39.81	$50.12
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $32.36 / $537.03	Professional		$21.88	$32.36	$537.03
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $12.30 / $63.10	Professional	26	$7.59	$12.30	$63.10
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $22.39 / $501.19	Professional	TC	$14.13	$22.39	$501.19
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $51.29 / $52.48	Professional		$46.77	$51.29	$52.48
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $16.22 / $17.78	Professional	26	$15.49	$16.22	$17.78
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $33.11 / $35.48	Professional	TC	$31.62	$33.11	$35.48
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $16.60 / $16.60	Professional	26	$16.60	$16.60	$16.60
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $33.11 / $33.11	Professional	TC	$33.11	$33.11	$33.11
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $36.31 / $46.77	Professional		$27.54	$36.31	$46.77
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $12.59 / $14.79	Professional	26	$9.55	$12.59	$14.79
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $23.99 / $32.36	Professional	TC	$18.20	$23.99	$32.36
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $38.90 / $54.95	Professional		$25.12	$38.90	$54.95
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $12.88 / $19.05	Professional	26	$7.59	$12.88	$19.05
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $26.92 / $37.15	Professional	TC	$16.98	$26.92	$37.15
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $48.98 / $48.98	Professional		$41.69	$48.98	$48.98
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $15.49 / $15.49	Professional	26	$13.18	$15.49	$15.49
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $33.88 / $33.88	Professional	TC	$28.18	$33.88	$33.88

South Dakota rates for HCPCS 72020