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 $38.02 / $43.65 / $53.70	Professional		$38.02	$43.65	$53.70
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $22.39 / $45.71	Professional	26	$12.02	$22.39	$45.71
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $36.31 / $85.11	Professional	TC	$26.92	$36.31	$85.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $102.33 / $128.82	Professional		$81.28	$102.33	$128.82
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $28.84 / $35.48	Professional	26	$22.91	$28.84	$35.48
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $74.13 / $93.33	Professional	TC	$58.88	$74.13	$93.33
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $58.88 / $109.65	Professional		$38.90	$58.88	$109.65
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $19.95 / $37.15	Professional	26	$13.18	$19.95	$37.15
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $38.02 / $72.44	Professional	TC	$25.70	$38.02	$72.44
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $89.13 / $91.20	Professional		$83.18	$89.13	$91.20
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $26.30 / $31.62	Professional	26	$25.12	$26.30	$31.62
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $58.88 / $66.07	Professional	TC	$57.54	$58.88	$66.07
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Professional	26	$27.54	$27.54	$27.54
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $57.54 / $57.54	Professional	TC	$57.54	$57.54	$57.54
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $69.18 / $83.18	Professional		$47.86	$69.18	$83.18
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $20.89 / $23.99	Professional	26	$14.79	$20.89	$23.99
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $50.12 / $58.88	Professional	TC	$32.36	$50.12	$58.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $66.07 / $97.72	Professional		$43.65	$66.07	$97.72
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $22.39 / $33.11	Professional	26	$14.45	$22.39	$33.11
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $43.65 / $69.18	Professional	TC	$28.18	$43.65	$69.18
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $87.10 / $87.10	Professional		$74.13	$87.10	$87.10
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $25.12 / $25.12	Professional	26	$20.89	$25.12	$25.12
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $61.66 / $61.66	Professional	TC	$52.48	$61.66	$61.66

South Dakota rates for HCPCS 72081