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 $7.94 / $7.94 / $7.94	Facility	26	$7.94	$7.94	$7.94
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $33.88 / $42.66	Professional		$28.84	$33.88	$42.66
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $7.94 / $10.96	Professional	26	$7.08	$7.94	$10.96
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $25.70 / $31.62	Professional	TC	$21.88	$25.70	$31.62
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $79.43 / $100.00	Professional		$64.57	$79.43	$100.00
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $19.05 / $23.99	Professional	26	$15.14	$19.05	$23.99
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $61.66 / $75.86	Professional	TC	$48.98	$61.66	$75.86
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $42.66 / $208.93	Professional		$28.18	$42.66	$208.93
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $14.13 / $83.18	Professional	26	$8.71	$14.13	$83.18
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $30.90 / $158.49	Professional	TC	$19.95	$30.90	$158.49
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $67.61 / $72.44	Professional		$64.57	$67.61	$72.44
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $17.78 / $20.42	Professional	26	$16.22	$17.78	$20.42
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $48.98 / $53.70	Professional	TC	$47.86	$48.98	$53.70
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $18.20 / $18.20	Professional	26	$18.20	$18.20	$18.20
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $47.86 / $47.86	Professional	TC	$47.86	$47.86	$47.86
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $46.77 / $66.07	Professional		$33.88	$46.77	$66.07
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $13.80 / $16.22	Professional	26	$10.00	$13.80	$16.22
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $33.88 / $48.98	Professional	TC	$25.70	$33.88	$48.98
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $50.12 / $74.13	Professional		$30.90	$50.12	$74.13
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $14.79 / $21.88	Professional	26	$8.71	$14.79	$21.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $35.48 / $54.95	Professional	TC	$21.88	$35.48	$54.95
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $67.61 / $67.61	Professional		$57.54	$67.61	$67.61
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $16.98 / $16.98	Professional	26	$14.45	$16.98	$16.98
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $51.29 / $51.29	Professional	TC	$43.65	$51.29	$51.29

South Dakota rates for HCPCS 72200