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 $12.02 / $12.02 / $12.02	Facility	26	$12.02	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $45.71 / $66.07	Professional		$40.74	$45.71	$66.07
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $12.02 / $18.62	Professional	26	$10.00	$12.02	$18.62
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $33.88 / $57.54	Professional	TC	$30.20	$33.88	$57.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $107.15 / $131.83	Professional		$85.11	$107.15	$131.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $26.92 / $33.88	Professional	26	$21.38	$26.92	$33.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $79.43 / $100.00	Professional	TC	$63.10	$79.43	$100.00
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $58.88 / $288.40	Professional		$38.90	$58.88	$288.40
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $17.38 / $107.15	Professional	26	$10.72	$17.38	$107.15
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $44.67 / $269.15	Professional	TC	$28.18	$44.67	$269.15
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $89.13 / $95.50	Professional		$87.10	$89.13	$95.50
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $25.12 / $25.70	Professional	26	$23.99	$25.12	$25.70
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $63.10 / $70.79	Professional	TC	$63.10	$63.10	$70.79
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $25.70 / $25.70	Professional	26	$25.70	$25.70	$25.70
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $63.10 / $63.10	Professional	TC	$63.10	$63.10	$63.10
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $64.57 / $87.10	Professional		$48.98	$64.57	$87.10
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $18.20 / $22.39	Professional	26	$13.49	$18.20	$22.39
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $47.86 / $64.57	Professional	TC	$34.67	$47.86	$64.57
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $75.86 / $97.72	Professional		$46.77	$75.86	$97.72
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $18.62 / $27.54	Professional	26	$10.72	$18.62	$27.54
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $54.95 / $74.13	Professional	TC	$33.88	$54.95	$74.13
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $89.13 / $89.13	Professional		$75.86	$89.13	$89.13
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $23.44 / $23.44	Professional	26	$19.95	$23.44	$23.44
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $66.07 / $66.07	Professional	TC	$56.23	$66.07	$66.07

South Dakota rates for HCPCS 72074