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 $42.66 / $309.03 / $1,202.26	Facility		$42.66	$309.03	$1,202.26
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.00 / $10.00 / $10.00	Facility	26	$10.00	$10.00	$10.00
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $32.36 / $32.36 / $46.77	Facility	TC	$32.36	$32.36	$46.77
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $42.66 / $117.49	Professional		$38.02	$42.66	$117.49
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $10.96 / $24.55	Professional	26	$10.00	$10.96	$24.55
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $30.90 / $46.77	Professional	TC	$27.54	$30.90	$46.77
Avera Facility/Professional Facility Modifier Typical Low / Median / Typical High $72.44 / $151.36 / $194.98	Facility		$72.44	$151.36	$194.98
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $97.72 / $123.03	Professional		$79.43	$97.72	$123.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $24.55 / $30.90	Professional	26	$19.50	$24.55	$30.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $74.13 / $93.33	Professional	TC	$58.88	$74.13	$93.33
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $45.71 / $60.26 / $74.13	Facility		$45.71	$60.26	$74.13
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $60.26 / $112.20	Professional		$39.81	$60.26	$112.20
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $18.62 / $41.69	Professional	26	$11.75	$18.62	$41.69
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $42.66 / $79.43	Professional	TC	$28.18	$42.66	$79.43
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $85.11 / $89.13	Professional		$81.28	$85.11	$89.13
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $22.91 / $26.30	Professional	26	$21.38	$22.91	$26.30
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $58.88 / $66.07	Professional	TC	$58.88	$58.88	$66.07
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $23.44 / $23.44	Professional	26	$23.44	$23.44	$23.44
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $58.88 / $58.88	Professional	TC	$58.88	$58.88	$58.88
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $67.61 / $79.43	Professional		$46.77	$67.61	$79.43
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $18.20 / $20.89	Professional	26	$12.59	$18.20	$20.89
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $50.12 / $58.88	Professional	TC	$33.11	$50.12	$58.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $67.61 / $100.00	Professional		$44.67	$67.61	$100.00
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $19.50 / $28.84	Professional	26	$12.88	$19.50	$28.84
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $47.86 / $70.79	Professional	TC	$30.90	$47.86	$70.79
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $83.18 / $83.18	Professional		$70.79	$83.18	$83.18
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $21.38 / $21.38	Professional	26	$18.20	$21.38	$21.38
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $61.66 / $61.66	Professional	TC	$52.48	$61.66	$61.66

South Dakota rates for HCPCS 73521