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 $33.11 / $33.11 / $33.11	Facility	26	$33.11	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $117.49 / $199.53	Professional		$104.71	$117.49	$199.53
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $52.48 / $91.20	Professional	26	$28.18	$52.48	$91.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $83.18 / $537.03	Professional	TC	$72.44	$83.18	$537.03
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $128.82 / $141.25	Professional		$109.65	$128.82	$141.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $257.04 / $323.59	Professional		$208.93	$257.04	$323.59
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $77.62 / $95.50	Professional	26	$61.66	$77.62	$95.50
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $181.97 / $229.09	Professional	TC	$144.54	$181.97	$229.09
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $162.18 / $309.03	Professional		$104.71	$162.18	$309.03
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $56.23 / $97.72	Professional	26	$34.67	$56.23	$97.72
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $112.20 / $208.93	Professional	TC	$74.13	$112.20	$208.93
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $229.09 / $239.88	Professional		$213.80	$229.09	$239.88
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $70.79 / $81.28	Professional	26	$66.07	$70.79	$81.28
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $158.49 / $162.18	Professional	TC	$147.91	$158.49	$162.18
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $72.44 / $72.44	Professional	26	$72.44	$72.44	$72.44
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Professional	TC	$151.36	$151.36	$151.36
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $177.83 / $208.93	Professional		$128.82	$177.83	$208.93
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $60.26 / $64.57	Professional	26	$38.90	$60.26	$64.57
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $138.04 / $144.54	Professional	TC	$91.20	$138.04	$144.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $186.21 / $275.42	Professional		$120.23	$186.21	$275.42
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $57.54 / $87.10	Professional	26	$38.02	$57.54	$87.10
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $125.89 / $186.21	Professional	TC	$81.28	$125.89	$186.21
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $218.78 / $218.78	Professional		$186.21	$218.78	$218.78
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $66.07 / $66.07	Professional	26	$56.23	$66.07	$66.07
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $151.36 / $151.36	Professional	TC	$128.82	$151.36	$151.36

South Dakota rates for HCPCS 74221