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 $41.69 / $57.54 / $57.54	Facility	26	$41.69	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $245.47 / $426.58	Professional		$213.80	$245.47	$426.58
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $57.54 / $69.18	Professional	26	$50.12	$57.54	$69.18
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $190.55 / $229.09	Professional	TC	$162.18	$190.55	$229.09
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $489.78 / $616.60 / $758.58	Professional		$489.78	$616.60	$758.58
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $134.90 / $165.96	Professional	26	$107.15	$134.90	$165.96
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $380.19 / $478.63 / $602.56	Professional	TC	$380.19	$478.63	$602.56
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $416.87 / $2,187.76	Professional		$234.42	$416.87	$2,187.76
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $97.72 / $436.52	Professional	26	$60.26	$97.72	$436.52
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $338.84 / $1,905.46	Professional	TC	$199.53	$338.84	$1,905.46
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $512.86 / $575.44	Professional		$457.09	$512.86	$575.44
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $123.03 / $141.25	Professional	26	$114.82	$123.03	$141.25
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $346.74 / $389.05 / $436.52	Professional	TC	$346.74	$389.05	$436.52
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Professional	26	$125.89	$125.89	$125.89
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $371.54 / $371.54 / $371.54	Professional	TC	$371.54	$371.54	$371.54
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $436.52 / $537.03	Professional		$323.59	$436.52	$537.03
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $95.50 / $109.65	Professional	26	$70.79	$95.50	$109.65
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $338.84 / $467.74	Professional	TC	$251.19	$338.84	$467.74
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $457.09 / $660.69	Professional		$288.40	$457.09	$660.69
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $104.71 / $151.36	Professional	26	$60.26	$104.71	$151.36
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $380.19 / $501.19	Professional	TC	$218.78	$380.19	$501.19
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $489.78 / $575.44 / $575.44	Professional		$489.78	$575.44	$575.44
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $128.82 / $128.82	Professional	26	$109.65	$128.82	$128.82
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $380.19 / $446.68 / $446.68	Professional	TC	$380.19	$446.68	$446.68

South Dakota rates for HCPCS 72194