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 $61.66 / $83.18 / $83.18	Facility	26	$61.66	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $234.42 / $537.03	Professional		$173.78	$234.42	$537.03
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $83.18 / $234.42	Professional	26	$77.62	$83.18	$234.42
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $144.54 / $3,801.89	Professional	TC	$97.72	$144.54	$3,801.89
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $331.13 / $724.44	Professional		$186.21	$331.13	$724.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $446.68 / $562.34	Professional		$354.81	$446.68	$562.34
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $151.36 / $190.55 / $239.88	Professional	26	$151.36	$190.55	$239.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $251.19 / $316.23	Professional	TC	$204.17	$251.19	$316.23
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $302.00 / $575.44	Professional		$177.83	$302.00	$575.44
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $162.18 / $245.47	Professional	26	$95.50	$162.18	$245.47
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $169.82 / $323.59	Professional	TC	$114.82	$169.82	$323.59
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $398.11 / $446.68	Professional		$371.54	$398.11	$446.68
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $165.96 / $173.78 / $204.17	Professional	26	$165.96	$173.78	$204.17
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $223.87 / $245.47	Professional	TC	$204.17	$223.87	$245.47
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $181.97 / $181.97 / $181.97	Professional	26	$181.97	$181.97	$181.97
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $229.09 / $229.09 / $229.09	Professional	TC	$229.09	$229.09	$229.09
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $323.59 / $363.08	Professional		$229.09	$323.59	$363.08
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $144.54 / $158.49	Professional	26	$100.00	$144.54	$158.49
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $131.83 / $181.97 / $204.17	Professional	TC	$131.83	$181.97	$204.17
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $363.08 / $501.19	Professional		$223.87	$363.08	$501.19
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $147.91 / $218.78	Professional	26	$95.50	$147.91	$218.78
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $204.17 / $288.40	Professional	TC	$125.89	$204.17	$288.40
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $426.58 / $426.58	Professional		$354.81	$426.58	$426.58
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $158.49 / $186.21 / $186.21	Professional	26	$158.49	$186.21	$186.21
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $234.42 / $234.42	Professional	TC	$199.53	$234.42	$234.42

South Dakota rates for HCPCS 74176