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 $107.15 / $107.15 / $107.15	Facility	26	$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $478.63 / $1,148.15	Professional		$331.13	$478.63	$1,148.15
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $194.98 / $549.54	Professional	26	$97.72	$194.98	$549.54
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $295.12 / $3,890.45	Professional	TC	$223.87	$295.12	$3,890.45
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $602.56 / $891.25	Professional		$346.74	$602.56	$891.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $812.83 / $1,023.29	Professional		$660.69	$812.83	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $194.98 / $239.88 / $302.00	Professional	26	$194.98	$239.88	$302.00
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $467.74 / $575.44 / $724.44	Professional	TC	$467.74	$575.44	$724.44
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $758.58 / $6,025.60	Professional		$338.84	$758.58	$6,025.60
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $181.97 / $389.05	Professional	26	$97.72	$181.97	$389.05
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $338.84 / $588.84 / $5,495.41	Professional	TC	$338.84	$588.84	$5,495.41
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $724.44 / $891.25	Professional		$676.08	$724.44	$891.25
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $208.93 / $223.87 / $257.04	Professional	26	$208.93	$223.87	$257.04
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $467.74 / $512.86 / $630.96	Professional	TC	$467.74	$512.86	$630.96
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $223.87 / $223.87 / $223.87	Professional	26	$223.87	$223.87	$223.87
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $575.44 / $575.44 / $575.44	Professional	TC	$575.44	$575.44	$575.44
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $660.69 / $1,023.29	Professional		$457.09	$660.69	$1,023.29
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $128.82 / $173.78 / $199.53	Professional	26	$128.82	$173.78	$199.53
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $457.09 / $870.96	Professional	TC	$323.59	$457.09	$870.96
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $758.58 / $1,096.48	Professional		$371.54	$758.58	$1,096.48
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $190.55 / $281.84	Professional	26	$95.50	$190.55	$281.84
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $537.03 / $891.25	Professional	TC	$295.12	$537.03	$891.25
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $891.25 / $891.25	Professional		$758.58	$891.25	$891.25
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $229.09 / $275.42 / $275.42	Professional	26	$229.09	$275.42	$275.42
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $524.81 / $630.96 / $630.96	Professional	TC	$524.81	$630.96	$630.96

South Dakota rates for HCPCS 72197