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 26 Typical Low / Median / Typical High $10.96 / $10.96 / $10.96	Facility	26	$10.96	$10.96	$10.96
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $26.92 / $138.04 / $467.74	Facility	TC	$26.92	$138.04	$467.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $57.54 / $95.50	Professional		$33.88	$57.54	$95.50
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $11.48 / $30.20	Professional	26	$10.47	$11.48	$30.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $37.15 / $75.86	Professional	TC	$23.44	$37.15	$75.86
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $60.26 / $63.10	Professional		$37.15	$60.26	$63.10
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $87.10 / $109.65	Professional		$70.79	$87.10	$109.65
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $25.12 / $31.62	Professional	26	$20.42	$25.12	$31.62
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $63.10 / $77.62	Professional	TC	$50.12	$63.10	$77.62
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $50.12 / $93.33	Professional		$33.11	$50.12	$93.33
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $22.39 / $40.74	Professional	26	$13.18	$22.39	$40.74
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $32.36 / $61.66	Professional	TC	$21.88	$32.36	$61.66
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $77.62 / $79.43	Professional		$70.79	$77.62	$79.43
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $23.44 / $26.92	Professional	26	$21.88	$23.44	$26.92
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $50.12 / $54.95	Professional	TC	$50.12	$50.12	$54.95
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $23.99 / $23.99	Professional	26	$23.99	$23.99	$23.99
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $50.12 / $50.12	Professional	TC	$50.12	$50.12	$50.12
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $61.66 / $72.44	Professional		$43.65	$61.66	$72.44
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $18.62 / $21.38	Professional	26	$13.49	$18.62	$21.38
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $44.67 / $50.12	Professional	TC	$30.90	$44.67	$50.12
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $56.23 / $83.18	Professional		$37.15	$56.23	$83.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $19.95 / $30.20	Professional	26	$12.88	$19.95	$30.20
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $37.15 / $58.88	Professional	TC	$24.55	$37.15	$58.88
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $74.13 / $74.13	Professional		$63.10	$74.13	$74.13
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $22.39 / $22.39	Professional	26	$18.62	$22.39	$22.39
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $52.48 / $52.48	Professional	TC	$44.67	$52.48	$52.48

South Dakota rates for HCPCS 74019