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 $28.84 / $28.84 / $28.84	Facility	26	$28.84	$28.84	$28.84
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $100.00 / $288.40	Professional		$91.20	$100.00	$288.40
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $32.36 / $77.62	Professional	26	$22.91	$32.36	$77.62
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $69.18 / $89.13	Professional	TC	$61.66	$69.18	$89.13
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $131.83 / $169.82	Professional		$93.33	$131.83	$169.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $229.09 / $288.40	Professional		$186.21	$229.09	$288.40
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $66.07 / $83.18	Professional	26	$53.70	$66.07	$83.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $131.83 / $165.96 / $204.17	Professional	TC	$131.83	$165.96	$204.17
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $131.83 / $645.65	Professional		$87.10	$131.83	$645.65
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $44.67 / $181.97	Professional	26	$25.12	$44.67	$181.97
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $104.71 / $467.74	Professional	TC	$63.10	$104.71	$467.74
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $204.17 / $213.80	Professional		$190.55	$204.17	$213.80
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $60.26 / $77.62	Professional	26	$56.23	$60.26	$77.62
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $138.04 / $144.54	Professional	TC	$134.90	$138.04	$144.54
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $61.66 / $61.66	Professional	26	$61.66	$61.66	$61.66
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $134.90 / $134.90	Professional	TC	$134.90	$134.90	$134.90
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $147.91 / $186.21	Professional		$107.15	$147.91	$186.21
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $41.69 / $54.95	Professional	26	$29.51	$41.69	$54.95
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $107.15 / $131.83	Professional	TC	$75.86	$107.15	$131.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $154.88 / $218.78	Professional		$87.10	$154.88	$218.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $45.71 / $60.26	Professional	26	$25.12	$45.71	$60.26
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $104.71 / $162.18	Professional	TC	$63.10	$104.71	$162.18
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $194.98 / $194.98	Professional		$165.96	$194.98	$194.98
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $57.54 / $57.54	Professional	26	$48.98	$57.54	$57.54
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $134.90 / $134.90	Professional	TC	$114.82	$134.90	$134.90

South Dakota rates for HCPCS 74220