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 $38.90 / $50.12 / $72.44	Professional		$38.90	$50.12	$72.44
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $14.13 / $40.74	Professional	26	$10.96	$14.13	$40.74
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $45.71 / $93.33	Professional	TC	$26.92	$45.71	$93.33
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $100.00 / $125.89	Professional		$79.43	$100.00	$125.89
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $27.54 / $34.67	Professional	26	$22.39	$27.54	$34.67
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $72.44 / $91.20	Professional	TC	$57.54	$72.44	$91.20
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $57.54 / $269.15	Professional		$38.02	$57.54	$269.15
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $17.38 / $97.72	Professional	26	$10.96	$17.38	$97.72
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $43.65 / $208.93	Professional	TC	$26.92	$43.65	$208.93
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $89.13 / $89.13	Professional		$83.18	$89.13	$89.13
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $25.12 / $25.70	Professional	26	$24.55	$25.12	$25.70
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $63.10 / $64.57	Professional	TC	$56.23	$63.10	$64.57
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $26.30 / $26.30	Professional	26	$26.30	$26.30	$26.30
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $56.23 / $56.23	Professional	TC	$56.23	$56.23	$56.23
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $63.10 / $81.28	Professional		$45.71	$63.10	$81.28
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $19.05 / $23.44	Professional	26	$13.18	$19.05	$23.44
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $45.71 / $58.88	Professional	TC	$32.36	$45.71	$58.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $72.44 / $95.50	Professional		$40.74	$72.44	$95.50
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $21.38 / $27.54	Professional	26	$12.02	$21.38	$27.54
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $50.12 / $67.61	Professional	TC	$30.20	$50.12	$67.61
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $85.11 / $85.11	Professional		$72.44	$85.11	$85.11
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $23.99 / $23.99	Professional	26	$20.42	$23.99	$23.99
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $60.26 / $60.26	Professional	TC	$51.29	$60.26	$60.26

South Dakota rates for HCPCS 72190