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 $10.00 / $10.00 / $10.00	Facility	26	$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $41.69 / $112.20	Professional		$36.31	$41.69	$112.20
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $10.96 / $38.02	Professional	26	$10.00	$10.96	$38.02
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $41.69 / $83.18	Professional	TC	$25.70	$41.69	$83.18
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $67.61 / $70.79	Professional		$39.81	$67.61	$70.79
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $93.33 / $117.49	Professional		$74.13	$93.33	$117.49
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $24.55 / $30.90	Professional	26	$19.50	$24.55	$30.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $69.18 / $87.10	Professional	TC	$54.95	$69.18	$87.10
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $51.29 / $251.19	Professional		$34.67	$51.29	$251.19
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $19.05 / $38.02	Professional	26	$10.96	$19.05	$38.02
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $37.15 / $223.87	Professional	TC	$23.44	$37.15	$223.87
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $81.28 / $83.18	Professional		$77.62	$81.28	$83.18
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $22.91 / $25.70	Professional	26	$21.88	$22.91	$25.70
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $56.23 / $61.66	Professional	TC	$54.95	$56.23	$61.66
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $23.99 / $23.99	Professional	26	$23.99	$23.99	$23.99
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $54.95 / $54.95	Professional	TC	$54.95	$54.95	$54.95
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $57.54 / $75.86	Professional		$43.65	$57.54	$75.86
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $17.78 / $20.89	Professional	26	$13.18	$17.78	$20.89
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $39.81 / $56.23	Professional	TC	$30.90	$39.81	$56.23
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $63.10 / $87.10	Professional		$40.74	$63.10	$87.10
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $18.20 / $27.54	Professional	26	$11.48	$18.20	$27.54
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $46.77 / $64.57	Professional	TC	$28.18	$46.77	$64.57
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $79.43 / $79.43	Professional		$67.61	$79.43	$79.43
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $21.38 / $21.38	Professional	26	$18.20	$21.38	$21.38
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $57.54 / $57.54	Professional	TC	$48.98	$57.54	$57.54

South Dakota rates for HCPCS 72072