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 $39.81 / $39.81 / $39.81	Facility	26	$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $114.82 / $138.04	Professional		$97.72	$114.82	$138.04
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $70.79 / $100.00	Professional	TC	$63.10	$70.79	$100.00
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $257.04 / $323.59	Professional		$208.93	$257.04	$323.59
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $131.83 / $165.96 / $208.93	Professional	TC	$131.83	$165.96	$208.93
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $147.91 / $1,122.02	Professional		$93.33	$147.91	$1,122.02
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $87.10 / $912.01	Professional	TC	$53.70	$87.10	$912.01
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $218.78 / $229.09	Professional		$213.80	$218.78	$229.09
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $85.11 / $95.50	Professional	26	$79.43	$85.11	$95.50
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $134.90 / $144.54	Professional	TC	$123.03	$134.90	$144.54
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Professional	TC	$125.89	$125.89	$125.89
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $165.96 / $208.93	Professional		$120.23	$165.96	$208.93
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $66.07 / $77.62	Professional	26	$48.98	$66.07	$77.62
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $112.20 / $131.83	Professional	TC	$70.79	$112.20	$131.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $186.21 / $245.47	Professional		$109.65	$186.21	$245.47
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $102.33 / $169.82	Professional	TC	$61.66	$102.33	$169.82
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $218.78 / $218.78	Professional		$186.21	$218.78	$218.78
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $117.49 / $138.04 / $138.04	Professional	TC	$117.49	$138.04	$138.04

South Dakota rates for HCPCS 72265