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 $7.94 / $7.94 / $7.94	Facility	26	$7.94	$7.94	$7.94
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $41.69 / $72.44	Professional		$33.88	$41.69	$72.44
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $8.91 / $32.36	Professional	26	$7.94	$8.91	$32.36
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $35.48 / $89.13	Professional	TC	$28.18	$35.48	$89.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $95.50 / $120.23	Professional		$75.86	$95.50	$120.23
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $19.05 / $23.99	Professional	26	$15.14	$19.05	$23.99
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 Professional Modifier Typical Low / Median / Typical High $33.11 / $53.70 / $263.03	Professional		$33.11	$53.70	$263.03
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $14.13 / $83.18	Professional	26	$8.71	$14.13	$83.18
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $43.65 / $208.93	Professional	TC	$25.70	$43.65	$208.93
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $83.18 / $85.11	Professional		$77.62	$83.18	$85.11
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $17.78 / $20.42	Professional	26	$16.22	$17.78	$20.42
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $61.66 / $67.61	Professional	TC	$61.66	$61.66	$67.61
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $18.20 / $18.20	Professional	26	$18.20	$18.20	$18.20
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $61.66 / $61.66	Professional	TC	$61.66	$61.66	$61.66
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $57.54 / $77.62	Professional		$38.90	$57.54	$77.62
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $14.13 / $16.22	Professional	26	$10.47	$14.13	$16.22
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $45.71 / $61.66	Professional	TC	$28.18	$45.71	$61.66
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $60.26 / $89.13	Professional		$39.81	$60.26	$89.13
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $15.14 / $21.88	Professional	26	$8.71	$15.14	$21.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $43.65 / $72.44	Professional	TC	$25.70	$43.65	$72.44
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 $14.45 / $16.98 / $16.98	Professional	26	$14.45	$16.98	$16.98
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 73565