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 $34.67 / $47.86 / $47.86	Facility	26	$34.67	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $158.49 / $354.81	Professional		$109.65	$158.49	$354.81
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $46.77 / $134.90	Professional	26	$42.66	$46.77	$134.90
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $114.82 / $281.84	Professional	TC	$79.43	$114.82	$281.84
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $223.87 / $245.47	Professional		$154.88	$223.87	$245.47
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $316.23 / $398.11	Professional		$251.19	$316.23	$398.11
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $109.65 / $138.04	Professional	26	$87.10	$109.65	$138.04
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $208.93 / $257.04	Professional	TC	$165.96	$208.93	$257.04
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $281.84 / $1,621.81	Professional		$134.90	$281.84	$1,621.81
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $93.33 / $199.53	Professional	26	$57.54	$93.33	$199.53
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $199.53 / $1,318.26	Professional	TC	$128.82	$199.53	$1,318.26
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $281.84 / $371.54	Professional		$263.03	$281.84	$371.54
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $100.00 / $123.03	Professional	26	$95.50	$100.00	$123.03
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $181.97 / $245.47	Professional	TC	$165.96	$181.97	$245.47
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $104.71 / $104.71	Professional	26	$104.71	$104.71	$104.71
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $213.80 / $213.80	Professional	TC	$213.80	$213.80	$213.80
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $257.04 / $363.08	Professional		$173.78	$257.04	$363.08
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $79.43 / $91.20	Professional	26	$58.88	$79.43	$91.20
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $165.96 / $288.40	Professional	TC	$114.82	$165.96	$288.40
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $295.12 / $467.74	Professional		$158.49	$295.12	$467.74
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $87.10 / $128.82	Professional	26	$56.23	$87.10	$128.82
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $104.71 / $194.98 / $288.40	Professional	TC	$104.71	$194.98	$288.40
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $302.00 / $302.00	Professional		$257.04	$302.00	$302.00
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $104.71 / $104.71	Professional	26	$89.13	$104.71	$104.71
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $194.98 / $194.98	Professional	TC	$165.96	$194.98	$194.98

South Dakota rates for HCPCS 72125