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 $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $426.58 / $602.56	Professional		$316.23	$426.58	$602.56
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $162.18 / $501.19	Professional	26	$102.33	$162.18	$501.19
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $269.15 / $426.58	Professional	TC	$208.93	$269.15	$426.58
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $575.44 / $891.25	Professional		$323.59	$575.44	$891.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $776.25 / $977.24	Professional		$616.60	$776.25	$977.24
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $199.53 / $251.19 / $316.23	Professional	26	$199.53	$251.19	$316.23
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $426.58 / $524.81 / $660.69	Professional	TC	$426.58	$524.81	$660.69
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $616.60 / $6,165.95	Professional		$316.23	$616.60	$6,165.95
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $181.97 / $933.25	Professional	26	$114.82	$181.97	$933.25
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $269.15 / $457.09 / $5,495.41	Professional	TC	$269.15	$457.09	$5,495.41
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $691.83 / $831.76	Professional		$645.65	$691.83	$831.76
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $218.78 / $229.09 / $263.03	Professional	26	$218.78	$229.09	$263.03
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $426.58 / $467.74 / $575.44	Professional	TC	$426.58	$467.74	$575.44
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $234.42 / $234.42 / $234.42	Professional	26	$234.42	$234.42	$234.42
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $524.81 / $524.81 / $524.81	Professional	TC	$524.81	$524.81	$524.81
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $630.96 / $933.25	Professional		$416.87	$630.96	$933.25
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $134.90 / $186.21 / $208.93	Professional	26	$134.90	$186.21	$208.93
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $281.84 / $416.87 / $758.58	Professional	TC	$281.84	$416.87	$758.58
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $676.08 / $954.99	Professional		$398.11	$676.08	$954.99
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $194.98 / $288.40	Professional	26	$100.00	$194.98	$288.40
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $269.15 / $478.63 / $676.08	Professional	TC	$269.15	$478.63	$676.08
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $724.44 / $851.14 / $851.14	Professional		$724.44	$851.14	$851.14
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $239.88 / $281.84 / $281.84	Professional	26	$239.88	$281.84	$281.84
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $489.78 / $575.44 / $575.44	Professional	TC	$489.78	$575.44	$575.44

South Dakota rates for HCPCS 72157