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 $28.18 / $28.18 / $28.18	Facility	26	$28.18	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $138.04 / $234.42	Professional		$112.20	$138.04	$234.42
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $30.90 / $147.91	Professional	26	$25.70	$30.90	$147.91
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $104.71 / $181.97	Professional	TC	$83.18	$104.71	$181.97
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $302.00 / $371.54	Professional		$239.88	$302.00	$371.54
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $64.57 / $81.28	Professional	26	$51.29	$64.57	$81.28
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $234.42 / $295.12	Professional	TC	$190.55	$234.42	$295.12
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $151.36 / $870.96	Professional		$107.15	$151.36	$870.96
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $45.71 / $199.53	Professional	26	$27.54	$45.71	$199.53
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $117.49 / $691.83	Professional	TC	$81.28	$117.49	$691.83
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $251.19 / $269.15	Professional		$251.19	$251.19	$269.15
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $58.88 / $66.07	Professional	26	$56.23	$58.88	$66.07
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $194.98 / $208.93	Professional	TC	$181.97	$194.98	$208.93
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $61.66 / $61.66	Professional	26	$61.66	$61.66	$61.66
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 $114.82 / $173.78 / $239.88	Professional		$114.82	$173.78	$239.88
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $45.71 / $53.70	Professional	26	$34.67	$45.71	$53.70
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $134.90 / $186.21	Professional	TC	$81.28	$134.90	$186.21
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $173.78 / $281.84	Professional		$107.15	$173.78	$281.84
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $45.71 / $70.79	Professional	26	$27.54	$45.71	$70.79
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $131.83 / $218.78	Professional	TC	$81.28	$131.83	$218.78
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $251.19 / $251.19	Professional		$213.80	$251.19	$251.19
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $56.23 / $56.23	Professional	26	$47.86	$56.23	$56.23
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $194.98 / $194.98	Professional	TC	$165.96	$194.98	$194.98

South Dakota rates for HCPCS 73525