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 $19.95 / $19.95 / $19.95	Facility	26	$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $100.00 / $117.49	Professional		$79.43	$100.00	$117.49
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $22.91 / $70.79	Professional	26	$19.05	$22.91	$70.79
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $79.43 / $95.50	Professional	TC	$60.26	$79.43	$95.50
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $234.42 / $295.12	Professional		$190.55	$234.42	$295.12
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $46.77 / $58.88	Professional	26	$37.15	$46.77	$58.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $190.55 / $234.42	Professional	TC	$147.91	$190.55	$234.42
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $120.23 / $229.09	Professional		$81.28	$120.23	$229.09
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $30.90 / $57.54	Professional	26	$20.42	$30.90	$57.54
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $91.20 / $173.78	Professional	TC	$61.66	$91.20	$173.78
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $199.53 / $208.93	Professional		$190.55	$199.53	$208.93
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $42.66 / $48.98	Professional	26	$39.81	$42.66	$48.98
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $151.36 / $165.96	Professional	TC	$147.91	$151.36	$165.96
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $42.66 / $42.66	Professional	26	$42.66	$42.66	$42.66
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $147.91 / $147.91	Professional	TC	$147.91	$147.91	$147.91
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $158.49 / $190.55	Professional		$100.00	$158.49	$190.55
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $33.88 / $38.90	Professional	26	$23.44	$33.88	$38.90
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $128.82 / $151.36	Professional	TC	$83.18	$128.82	$151.36
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $151.36 / $223.87	Professional		$91.20	$151.36	$223.87
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $34.67 / $51.29	Professional	26	$22.39	$34.67	$51.29
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $107.15 / $173.78	Professional	TC	$67.61	$107.15	$173.78
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $199.53 / $199.53	Professional		$169.82	$199.53	$199.53
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $40.74 / $40.74	Professional	26	$34.67	$40.74	$40.74
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $158.49 / $158.49	Professional	TC	$134.90	$158.49	$158.49

South Dakota rates for HCPCS 72084