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 $38.02 / $52.48 / $52.48	Facility	26	$38.02	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $162.18 / $380.19	Professional		$123.03	$162.18	$380.19
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $57.54 / $208.93	Professional	26	$46.77	$57.54	$208.93
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $100.00 / $288.40	Professional	TC	$77.62	$100.00	$288.40
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $208.93 / $229.09	Professional		$134.90	$208.93	$229.09
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $323.59 / $407.38	Professional		$257.04	$323.59	$407.38
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $120.23 / $151.36	Professional	26	$95.50	$120.23	$151.36
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $204.17 / $257.04	Professional	TC	$162.18	$204.17	$257.04
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $234.42 / $1,584.89	Professional		$128.82	$234.42	$1,584.89
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $87.10 / $323.59	Professional	26	$54.95	$87.10	$323.59
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $154.88 / $1,318.26	Professional	TC	$91.20	$154.88	$1,318.26
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $288.40 / $323.59	Professional		$269.15	$288.40	$323.59
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $109.65 / $125.89	Professional	26	$102.33	$109.65	$125.89
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $177.83 / $199.53	Professional	TC	$165.96	$177.83	$199.53
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $112.20 / $112.20	Professional	26	$112.20	$112.20	$112.20
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $186.21 / $186.21	Professional	TC	$186.21	$186.21	$186.21
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $239.88 / $338.84	Professional		$169.82	$239.88	$338.84
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $85.11 / $100.00	Professional	26	$63.10	$85.11	$100.00
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $154.88 / $275.42	Professional	TC	$107.15	$154.88	$275.42
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $263.03 / $363.08	Professional		$162.18	$263.03	$363.08
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $93.33 / $138.04	Professional	26	$50.12	$93.33	$138.04
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $169.82 / $239.88	Professional	TC	$102.33	$169.82	$239.88
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $309.03 / $309.03	Professional		$257.04	$309.03	$309.03
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $114.82 / $114.82	Professional	26	$97.72	$114.82	$114.82
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 72192