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 $12.88 / $12.88 / $12.88	Facility	26	$12.88	$12.88	$12.88
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $32.36 / $46.77 / $295.12	Facility	TC	$32.36	$46.77	$295.12
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $43.65 / $52.48	Professional		$38.02	$43.65	$52.48
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $12.88 / $23.44	Professional	26	$12.02	$12.88	$23.44
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $30.20 / $36.31	Professional	TC	$25.70	$30.20	$36.31
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $102.33 / $125.89	Professional		$81.28	$102.33	$125.89
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $29.51 / $36.31	Professional	26	$23.44	$29.51	$36.31
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $72.44 / $91.20	Professional	TC	$57.54	$72.44	$91.20
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $58.88 / $109.65	Professional		$38.90	$58.88	$109.65
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $20.42 / $38.02	Professional	26	$13.49	$20.42	$38.02
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $38.02 / $72.44	Professional	TC	$25.12	$38.02	$72.44
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $89.13 / $91.20	Professional		$83.18	$89.13	$91.20
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $26.92 / $31.62	Professional	26	$25.70	$26.92	$31.62
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $58.88 / $64.57	Professional	TC	$57.54	$58.88	$64.57
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Professional	26	$27.54	$27.54	$27.54
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $57.54 / $57.54	Professional	TC	$57.54	$57.54	$57.54
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $70.79 / $83.18	Professional		$50.12	$70.79	$83.18
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $21.38 / $24.55	Professional	26	$15.49	$21.38	$24.55
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $51.29 / $58.88	Professional	TC	$35.48	$51.29	$58.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $66.07 / $97.72	Professional		$43.65	$66.07	$97.72
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $22.39 / $33.88	Professional	26	$14.79	$22.39	$33.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $42.66 / $67.61	Professional	TC	$28.18	$42.66	$67.61
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $85.11 / $85.11	Professional		$72.44	$85.11	$85.11
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $25.70 / $25.70	Professional	26	$21.88	$25.70	$25.70
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $60.26 / $60.26	Professional	TC	$51.29	$60.26	$60.26

South Dakota rates for HCPCS 74021