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 $12.88 / $12.88 / $12.88	Facility	26	$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $54.95 / $125.89	Professional		$36.31	$54.95	$125.89
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $14.13 / $50.12	Professional	26	$12.59	$14.13	$50.12
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $54.95 / $125.89	Professional	TC	$41.69	$54.95	$125.89
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $144.54 / $181.97	Professional		$117.49	$144.54	$181.97
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $30.90 / $38.90	Professional	26	$24.55	$30.90	$38.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $114.82 / $144.54	Professional	TC	$89.13	$114.82	$144.54
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $77.62 / $147.91	Professional		$51.29	$77.62	$147.91
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $22.91 / $39.81	Professional	26	$14.13	$22.91	$39.81
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $56.23 / $107.15	Professional	TC	$37.15	$56.23	$107.15
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $117.49 / $128.82	Professional		$114.82	$117.49	$128.82
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $28.18 / $32.36	Professional	26	$26.30	$28.18	$32.36
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $91.20 / $100.00	Professional	TC	$87.10	$91.20	$100.00
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $28.18 / $28.18	Professional	26	$28.18	$28.18	$28.18
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Professional	TC	$85.11	$85.11	$85.11
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $97.72 / $117.49	Professional		$63.10	$97.72	$117.49
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $22.91 / $25.70	Professional	26	$15.49	$22.91	$25.70
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $77.62 / $91.20	Professional	TC	$47.86	$77.62	$91.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $87.10 / $138.04	Professional		$57.54	$87.10	$138.04
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $23.99 / $35.48	Professional	26	$15.49	$23.99	$35.48
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $63.10 / $107.15	Professional	TC	$41.69	$63.10	$107.15
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $123.03 / $123.03	Professional		$104.71	$123.03	$123.03
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $26.92 / $26.92	Professional	26	$22.91	$26.92	$26.92
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $95.50 / $95.50	Professional	TC	$81.28	$95.50	$95.50

South Dakota rates for HCPCS 73503