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 Typical Low / Median / Typical High $107.15 / $223.87 / $426.58	Facility		$107.15	$223.87	$426.58
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 Facility Modifier TC Typical Low / Median / Typical High $26.92 / $26.92 / $39.81	Facility	TC	$26.92	$26.92	$39.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $33.88 / $77.62	Professional		$15.85	$33.88	$77.62
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $13.80 / $31.62	Professional	26	$7.59	$13.80	$31.62
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $16.60 / $48.98 / $48.98	Professional	52	$16.60	$48.98	$48.98
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $36.31 / $70.79	Professional	TC	$22.91	$36.31	$70.79
Avera Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $58.88 / $194.98	Facility		$33.88	$58.88	$194.98
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $39.81 / $50.12	Professional		$19.50	$39.81	$50.12
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 $14.45 / $18.20 / $22.91	Professional	26	$14.45	$18.20	$22.91
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $61.66 / $77.62	Professional	TC	$48.98	$61.66	$77.62
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $50.12 / $72.44	Facility		$37.15	$50.12	$72.44
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $43.65 / $218.78	Professional		$28.84	$43.65	$218.78
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $15.49 / $23.44	Professional	26	$8.32	$15.49	$23.44
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $33.11 / $165.96	Professional	TC	$20.89	$33.11	$165.96
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $70.79 / $72.44	Professional		$66.07	$70.79	$72.44
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $16.98 / $19.50	Professional	26	$16.22	$16.98	$19.50
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $51.29 / $54.95	Professional	TC	$50.12	$51.29	$54.95
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $17.38 / $17.38	Professional	26	$17.38	$17.38	$17.38
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $50.12 / $50.12	Professional	TC	$50.12	$50.12	$50.12
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $48.98 / $66.07	Professional		$35.48	$48.98	$66.07
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $13.49 / $15.49	Professional	26	$10.00	$13.49	$15.49
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $35.48 / $50.12	Professional	TC	$26.30	$35.48	$50.12
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $53.70 / $74.13	Professional		$30.20	$53.70	$74.13
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $15.14 / $20.89	Professional	26	$8.51	$15.14	$20.89
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $37.15 / $57.54	Professional	TC	$21.38	$37.15	$57.54
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 $13.80 / $16.22 / $16.22	Professional	26	$13.80	$16.22	$16.22
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 73100