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 $120.23 / $331.13 / $524.81	Facility		$120.23	$331.13	$524.81
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.91 / $8.91 / $8.91	Facility	26	$8.91	$8.91	$8.91
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $33.11 / $131.83 / $245.47	Facility	TC	$33.11	$131.83	$245.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $38.90 / $120.23	Professional		$8.71	$38.90	$120.23
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $16.98 / $46.77	Professional	26	$8.51	$16.98	$46.77
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $33.11 / $33.11 / $33.11	Professional	50	$33.11	$33.11	$33.11
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $48.98 / $257.04	Professional	TC	$28.84	$48.98	$257.04
Avera Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $70.79 / $194.98	Facility		$40.74	$70.79	$194.98
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $56.23 / $74.13	Professional		$30.20	$56.23	$74.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $97.72 / $120.23	Professional		$77.62	$97.72	$120.23
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $20.42 / $25.70	Professional	26	$16.60	$20.42	$25.70
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $75.86 / $95.50	Professional	TC	$60.26	$75.86	$95.50
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $61.66 / $354.81	Facility		$46.77	$61.66	$354.81
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $53.70 / $263.03	Professional		$33.88	$53.70	$263.03
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $17.38 / $31.62	Professional	26	$10.47	$17.38	$31.62
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $41.69 / $204.17	Professional	TC	$26.30	$41.69	$204.17
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $83.18 / $87.10	Professional		$79.43	$83.18	$87.10
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $19.05 / $21.88	Professional	26	$18.20	$19.05	$21.88
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $61.66 / $79.43	Professional	TC	$60.26	$61.66	$79.43
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $19.50 / $19.50	Professional	26	$19.50	$19.50	$19.50
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $60.26 / $79.43	Professional	TC	$60.26	$60.26	$79.43
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $58.88 / $79.43	Professional		$43.65	$58.88	$79.43
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $15.49 / $17.38	Professional	26	$11.22	$15.49	$17.38
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $44.67 / $61.66	Professional	TC	$32.36	$44.67	$61.66
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $63.10 / $91.20	Professional		$35.48	$63.10	$91.20
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $16.98 / $23.44	Professional	26	$9.55	$16.98	$23.44
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $44.67 / $70.79	Professional	TC	$28.84	$44.67	$70.79
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $81.28 / $81.28	Professional		$69.18	$81.28	$81.28
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $18.20 / $18.20	Professional	26	$15.49	$18.20	$18.20
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $63.10 / $63.10	Professional	TC	$53.70	$63.10	$63.10

South Dakota rates for HCPCS 73562