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 $26.92 / $26.92 / $26.92	Facility	26	$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $117.49 / $158.49	Professional		$25.70	$117.49	$158.49
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $26.92 / $42.66	Professional	26	$25.70	$26.92	$42.66
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $104.71 / $128.82	Professional	TC	$95.50	$104.71	$128.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $309.03 / $389.05	Professional		$251.19	$309.03	$389.05
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $63.10 / $77.62	Professional	26	$50.12	$63.10	$77.62
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $251.19 / $309.03	Professional	TC	$199.53	$251.19	$309.03
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $151.36 / $851.14	Professional		$104.71	$151.36	$851.14
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $43.65 / $213.80	Professional	26	$27.54	$43.65	$213.80
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $117.49 / $691.83	Professional	TC	$79.43	$117.49	$691.83
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $257.04 / $275.42	Professional		$245.47	$257.04	$275.42
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $57.54 / $63.10	Professional	26	$53.70	$57.54	$63.10
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $204.17 / $218.78	Professional	TC	$181.97	$204.17	$218.78
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $56.23 / $56.23	Professional	26	$56.23	$56.23	$56.23
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Professional	TC	$190.55	$190.55	$190.55
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $173.78 / $251.19	Professional		$134.90	$173.78	$251.19
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $43.65 / $51.29	Professional	26	$33.11	$43.65	$51.29
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $134.90 / $199.53	Professional	TC	$100.00	$134.90	$199.53
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $177.83 / $288.40	Professional		$114.82	$177.83	$288.40
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $44.67 / $67.61	Professional	26	$27.54	$44.67	$67.61
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $134.90 / $229.09	Professional	TC	$87.10	$134.90	$229.09
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $263.03 / $263.03	Professional		$223.87	$263.03	$263.03
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $53.70 / $53.70	Professional	26	$45.71	$53.70	$53.70
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $208.93 / $208.93	Professional	TC	$177.83	$208.93	$208.93

South Dakota rates for HCPCS 73040