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 $25.12 / $25.12 / $25.12	Facility	26	$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $128.82 / $162.18	Professional		$95.50	$128.82	$162.18
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $25.12 / $102.33	Professional	26	$21.38	$25.12	$102.33
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $100.00 / $131.83	Professional	TC	$67.61	$100.00	$131.83
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $295.12 / $363.08	Professional		$234.42	$295.12	$363.08
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $57.54 / $72.44	Professional	26	$46.77	$57.54	$72.44
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $234.42 / $295.12	Professional	TC	$186.21	$234.42	$295.12
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $186.21 / $851.14	Professional		$112.20	$186.21	$851.14
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $47.86 / $93.33	Professional	26	$26.92	$47.86	$93.33
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $154.88 / $676.08	Professional	TC	$89.13	$154.88	$676.08
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $257.04 / $281.84	Professional		$239.88	$257.04	$281.84
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $53.70 / $61.66	Professional	26	$50.12	$53.70	$61.66
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $204.17 / $218.78	Professional	TC	$190.55	$204.17	$218.78
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $54.95 / $54.95	Professional	26	$54.95	$54.95	$54.95
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $208.93 / $208.93	Professional	TC	$208.93	$208.93	$208.93
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $204.17 / $234.42	Professional		$117.49	$204.17	$234.42
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $41.69 / $48.98	Professional	26	$31.62	$41.69	$48.98
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $162.18 / $186.21	Professional	TC	$83.18	$162.18	$186.21
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $194.98 / $323.59	Professional		$112.20	$194.98	$323.59
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $45.71 / $66.07	Professional	26	$26.92	$45.71	$66.07
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $154.88 / $257.04	Professional	TC	$89.13	$154.88	$257.04
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $245.47 / $245.47	Professional		$208.93	$245.47	$245.47
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $50.12 / $50.12	Professional	26	$42.66	$50.12	$50.12
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $194.98 / $194.98	Professional	TC	$165.96	$194.98	$194.98

South Dakota rates for HCPCS 74230