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 $15.14 / $15.14 / $15.14	Facility	26	$15.14	$15.14	$15.14
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $52.48 / $144.54	Professional		$45.71	$52.48	$144.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $18.20 / $35.48	Professional	26	$14.13	$18.20	$35.48
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $36.31 / $54.95	Professional	TC	$30.90	$36.31	$54.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $120.23 / $151.36	Professional		$95.50	$120.23	$151.36
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $35.48 / $44.67	Professional	26	$28.84	$35.48	$44.67
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $83.18 / $104.71	Professional	TC	$67.61	$83.18	$104.71
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $67.61 / $323.59	Professional		$44.67	$67.61	$323.59
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $25.70 / $128.82	Professional	26	$15.85	$25.70	$128.82
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $45.71 / $251.19	Professional	TC	$28.18	$45.71	$251.19
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $102.33 / $107.15	Professional		$97.72	$102.33	$107.15
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $33.11 / $37.15	Professional	26	$30.20	$33.11	$37.15
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $67.61 / $74.13	Professional	TC	$66.07	$67.61	$74.13
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $33.11 / $33.11	Professional	26	$33.11	$33.11	$33.11
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $66.07 / $66.07	Professional	TC	$66.07	$66.07	$66.07
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $72.44 / $97.72	Professional		$52.48	$72.44	$97.72
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $25.12 / $29.51	Professional	26	$18.62	$25.12	$29.51
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $48.98 / $67.61	Professional	TC	$35.48	$48.98	$67.61
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $83.18 / $112.20	Professional		$50.12	$83.18	$112.20
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $27.54 / $39.81	Professional	26	$15.85	$27.54	$39.81
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $53.70 / $77.62	Professional	TC	$33.88	$53.70	$77.62
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $100.00 / $100.00	Professional		$85.11	$100.00	$100.00
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $30.90 / $30.90	Professional	26	$26.30	$30.90	$30.90
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $69.18 / $69.18	Professional	TC	$58.88	$69.18	$69.18

South Dakota rates for HCPCS 74022