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 $38.90 / $38.90 / $38.90	Facility	26	$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $123.03 / $151.36	Professional		$109.65	$123.03	$151.36
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $61.66 / $154.88	Professional	26	$34.67	$61.66	$154.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $85.11 / $107.15	Professional	TC	$77.62	$85.11	$107.15
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $288.40 / $363.08	Professional		$229.09	$288.40	$363.08
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $89.13 / $112.20	Professional	26	$70.79	$89.13	$112.20
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $199.53 / $251.19	Professional	TC	$162.18	$199.53	$251.19
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $169.82 / $812.83	Professional		$107.15	$169.82	$812.83
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $58.88 / $239.88	Professional	26	$35.48	$58.88	$239.88
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $125.89 / $575.44	Professional	TC	$72.44	$125.89	$575.44
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $257.04 / $275.42	Professional		$239.88	$257.04	$275.42
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $81.28 / $81.28	Professional	26	$75.86	$81.28	$81.28
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $177.83 / $190.55	Professional	TC	$162.18	$177.83	$190.55
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $83.18 / $83.18	Professional	26	$83.18	$83.18	$83.18
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Professional	TC	$162.18	$162.18	$162.18
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $186.21 / $234.42	Professional		$138.04	$186.21	$234.42
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $58.88 / $74.13	Professional	26	$42.66	$58.88	$74.13
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $131.83 / $162.18	Professional	TC	$93.33	$131.83	$162.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $194.98 / $281.84	Professional		$107.15	$194.98	$281.84
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $67.61 / $87.10	Professional	26	$35.48	$67.61	$87.10
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $125.89 / $194.98	Professional	TC	$72.44	$125.89	$194.98
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 $64.57 / $75.86 / $75.86	Professional	26	$64.57	$75.86	$75.86
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $165.96 / $165.96	Professional	TC	$141.25	$165.96	$165.96

South Dakota rates for HCPCS 74240