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. 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 $7.08 / $7.08 / $7.08	Facility	26	$7.08	$7.08	$7.08
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $15.14 / $15.14 / $21.88	Facility	TC	$15.14	$15.14	$21.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $21.88 / $37.15	Professional		$12.88	$21.88	$37.15
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $7.41 / $13.18	Professional	26	$6.76	$7.41	$13.18
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.88 / $15.14 / $31.62	Professional	TC	$12.88	$15.14	$31.62
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $26.92 / $36.31	Professional		$26.92	$26.92	$36.31
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $51.29 / $63.10	Professional		$40.74	$51.29	$63.10
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $16.60 / $20.89	Professional	26	$13.18	$16.60	$20.89
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $33.88 / $42.66	Professional	TC	$27.54	$33.88	$42.66
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $34.67 / $173.78	Professional		$20.42	$34.67	$173.78
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $12.88 / $72.44	Professional	26	$7.59	$12.88	$72.44
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.79 / $23.99 / $147.91	Professional	TC	$14.79	$23.99	$147.91
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $46.77 / $52.48	Professional		$41.69	$46.77	$52.48
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $15.49 / $18.62	Professional	26	$14.79	$15.49	$18.62
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $30.90 / $33.88	Professional	TC	$27.54	$30.90	$33.88
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $16.22 / $16.22	Professional	26	$16.22	$16.22	$16.22
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Professional	TC	$27.54	$27.54	$27.54
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $37.15 / $41.69	Professional		$26.30	$37.15	$41.69
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $12.59 / $14.13	Professional	26	$9.12	$12.59	$14.13
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $24.55 / $27.54	Professional	TC	$17.38	$24.55	$27.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $38.02 / $57.54	Professional		$25.12	$38.02	$57.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $12.88 / $19.95	Professional	26	$7.59	$12.88	$19.95
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $25.12 / $37.15	Professional	TC	$15.49	$25.12	$37.15
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $43.65 / $43.65	Professional		$37.15	$43.65	$43.65
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $14.79 / $14.79	Professional	26	$12.59	$14.79	$14.79
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $28.84 / $28.84	Professional	TC	$24.55	$28.84	$28.84

South Dakota rates for HCPCS 73020