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 $83.18 / $83.18 / $83.18	Facility	26	$83.18	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $316.23 / $524.81	Professional		$251.19	$316.23	$524.81
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $87.10 / $154.88	Professional	26	$72.44	$87.10	$154.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $223.87 / $269.15	Professional	TC	$177.83	$223.87	$269.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $660.69 / $812.83	Professional		$524.81	$660.69	$812.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $151.36 / $190.55 / $234.42	Professional	26	$151.36	$190.55	$234.42
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $371.54 / $467.74 / $575.44	Professional	TC	$371.54	$467.74	$575.44
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $575.44 / $3,388.44	Professional		$269.15	$575.44	$3,388.44
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $138.04 / $660.69	Professional	26	$87.10	$138.04	$660.69
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $269.15 / $489.78 / $2,951.21	Professional	TC	$269.15	$489.78	$2,951.21
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $575.44 / $707.95	Professional		$537.03	$575.44	$707.95
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $162.18 / $173.78 / $199.53	Professional	26	$162.18	$173.78	$199.53
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $380.19 / $407.38 / $501.19	Professional	TC	$380.19	$407.38	$501.19
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $177.83 / $177.83 / $177.83	Professional	26	$177.83	$177.83	$177.83
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $457.09 / $457.09 / $457.09	Professional	TC	$457.09	$457.09	$457.09
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $524.81 / $812.83	Professional		$363.08	$524.81	$812.83
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $134.90 / $158.49	Professional	26	$102.33	$134.90	$158.49
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $371.54 / $707.95	Professional	TC	$257.04	$371.54	$707.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $616.60 / $891.25	Professional		$331.13	$616.60	$891.25
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $147.91 / $218.78	Professional	26	$87.10	$147.91	$218.78
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $436.52 / $707.95	Professional	TC	$234.42	$436.52	$707.95
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $707.95 / $707.95	Professional		$602.56	$707.95	$707.95
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $181.97 / $213.80 / $213.80	Professional	26	$181.97	$213.80	$213.80
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $426.58 / $501.19 / $501.19	Professional	TC	$426.58	$501.19	$501.19

South Dakota rates for HCPCS 72196