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 $120.23 / $165.96 / $354.81	Professional		$120.23	$165.96	$354.81
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $56.23 / $147.91	Professional	26	$42.66	$56.23	$147.91
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $112.20 / $239.88	Professional	TC	$79.43	$112.20	$239.88
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $218.78 / $239.88	Professional		$131.83	$218.78	$239.88
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 / $204.17 / $257.04	Professional	TC	$165.96	$204.17	$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 $50.12 / $83.18 / $380.19	Professional	26	$50.12	$83.18	$380.19
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $194.98 / $1,318.26	Professional	TC	$128.82	$194.98	$1,318.26
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $281.84 / $363.08	Professional		$263.03	$281.84	$363.08
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $100.00 / $117.49	Professional	26	$95.50	$100.00	$117.49
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 / $77.62 / $91.20	Professional	26	$58.88	$77.62	$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 / $288.40 / $457.09	Professional		$158.49	$288.40	$457.09
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $85.11 / $125.89	Professional	26	$54.95	$85.11	$125.89
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $194.98 / $288.40	Professional	TC	$102.33	$194.98	$288.40
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $295.12 / $295.12	Professional		$251.19	$295.12	$295.12
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 $162.18 / $190.55 / $190.55	Professional	TC	$162.18	$190.55	$190.55

South Dakota rates for HCPCS 72128