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 $42.66 / $42.66 / $42.66	Facility	26	$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $141.25 / $181.97	Professional		$125.89	$141.25	$181.97
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $102.33 / $117.49	Professional	26	$35.48	$102.33	$117.49
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $97.72 / $138.04	Professional	TC	$87.10	$97.72	$138.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $331.13 / $407.38	Professional		$263.03	$331.13	$407.38
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $97.72 / $123.03	Professional	26	$79.43	$97.72	$123.03
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $229.09 / $288.40	Professional	TC	$181.97	$229.09	$288.40
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $190.55 / $933.25	Professional		$123.03	$190.55	$933.25
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $54.95 / $269.15	Professional	26	$38.02	$54.95	$269.15
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $147.91 / $660.69	Professional	TC	$87.10	$147.91	$660.69
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $288.40 / $302.00	Professional		$269.15	$288.40	$302.00
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $85.11 / $89.13	Professional	26	$79.43	$85.11	$89.13
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $199.53 / $223.87	Professional	TC	$186.21	$199.53	$223.87
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Professional	26	$93.33	$93.33	$93.33
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Professional	TC	$190.55	$190.55	$190.55
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $213.80 / $263.03	Professional		$154.88	$213.80	$263.03
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $60.26 / $81.28	Professional	26	$43.65	$60.26	$81.28
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $151.36 / $181.97	Professional	TC	$109.65	$151.36	$181.97
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $218.78 / $316.23	Professional		$123.03	$218.78	$316.23
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $69.18 / $91.20	Professional	26	$38.02	$69.18	$91.20
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $147.91 / $234.42	Professional	TC	$87.10	$147.91	$234.42
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $275.42 / $275.42	Professional		$234.42	$275.42	$275.42
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $85.11 / $85.11	Professional	26	$72.44	$85.11	$85.11
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $190.55 / $190.55	Professional	TC	$162.18	$190.55	$190.55

South Dakota rates for HCPCS 74246