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 $70.79 / $70.79 / $70.79	Facility	26	$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $371.54 / $691.83	Professional		$213.80	$371.54	$691.83
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $141.25 / $208.93	Professional	26	$66.07	$141.25	$208.93
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $158.49 / $234.42 / $426.58	Professional	TC	$158.49	$234.42	$426.58
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $562.34 / $691.83	Professional		$446.68	$562.34	$691.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $128.82 / $162.18 / $199.53	Professional	26	$128.82	$162.18	$199.53
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $316.23 / $398.11 / $489.78	Professional	TC	$316.23	$398.11	$489.78
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $524.81 / $3,467.37	Professional		$229.09	$524.81	$3,467.37
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $117.49 / $575.44	Professional	26	$72.44	$117.49	$575.44
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $457.09 / $2,454.71	Professional	TC	$234.42	$457.09	$2,454.71
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $489.78 / $602.56	Professional		$457.09	$489.78	$602.56
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $138.04 / $147.91 / $169.82	Professional	26	$138.04	$147.91	$169.82
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $346.74 / $436.52	Professional	TC	$323.59	$346.74	$436.52
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Professional	26	$151.36	$151.36	$151.36
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $398.11 / $398.11 / $398.11	Professional	TC	$398.11	$398.11	$398.11
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $446.68 / $758.58	Professional		$309.03	$446.68	$758.58
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $117.49 / $131.83	Professional	26	$85.11	$117.49	$131.83
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $316.23 / $660.69	Professional	TC	$223.87	$316.23	$660.69
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $524.81 / $831.76	Professional		$281.84	$524.81	$831.76
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $125.89 / $181.97	Professional	26	$72.44	$125.89	$181.97
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $371.54 / $660.69	Professional	TC	$199.53	$371.54	$660.69
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $602.56 / $602.56	Professional		$512.86	$602.56	$602.56
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $154.88 / $181.97 / $181.97	Professional	26	$154.88	$181.97	$181.97
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $426.58 / $426.58	Professional	TC	$363.08	$426.58	$426.58

South Dakota rates for HCPCS 72195