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 $14.13 / $14.13 / $14.13	Facility	26	$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $67.61 / $177.83	Professional		$57.54	$67.61	$177.83
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $18.20 / $64.57	Professional	26	$12.88	$18.20	$64.57
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $50.12 / $74.13	Professional	TC	$43.65	$50.12	$74.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $147.91 / $186.21	Professional		$120.23	$147.91	$186.21
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $33.11 / $41.69	Professional	26	$26.92	$33.11	$41.69
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $114.82 / $144.54	Professional	TC	$93.33	$114.82	$144.54
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $83.18 / $398.11	Professional		$56.23	$83.18	$398.11
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $28.18 / $138.04	Professional	26	$18.20	$28.18	$138.04
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $60.26 / $354.81	Professional	TC	$38.02	$60.26	$354.81
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $131.83 / $131.83	Professional		$123.03	$131.83	$131.83
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $30.90 / $42.66	Professional	26	$28.84	$30.90	$42.66
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $93.33 / $102.33	Professional	TC	$91.20	$93.33	$102.33
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $31.62 / $31.62	Professional	26	$31.62	$31.62	$31.62
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $91.20 / $91.20	Professional	TC	$91.20	$91.20	$91.20
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $93.33 / $120.23	Professional		$72.44	$93.33	$120.23
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $26.30 / $30.90	Professional	26	$18.62	$26.30	$30.90
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $67.61 / $93.33	Professional	TC	$48.98	$67.61	$93.33
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $104.71 / $141.25	Professional		$66.07	$104.71	$141.25
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $28.18 / $38.90	Professional	26	$17.38	$28.18	$38.90
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $74.13 / $107.15	Professional	TC	$45.71	$74.13	$107.15
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $125.89 / $125.89	Professional		$107.15	$125.89	$125.89
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $28.84 / $28.84	Professional	26	$24.55	$28.84	$28.84
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $95.50 / $95.50	Professional	TC	$81.28	$95.50	$95.50

South Dakota rates for HCPCS 72052