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 $72.44 / $83.18 / $100.00	Professional		$72.44	$83.18	$100.00
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $75.86 / $104.71	Professional	26	$30.90	$75.86	$104.71
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $48.98 / $63.10	Professional	TC	$43.65	$48.98	$63.10
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $194.98 / $245.47	Professional		$154.88	$194.98	$245.47
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 $93.33 / $117.49 / $147.91	Professional	TC	$93.33	$117.49	$147.91
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $123.03 / $234.42	Professional		$77.62	$123.03	$234.42
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $56.23 / $125.89	Professional	26	$34.67	$56.23	$125.89
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $70.79 / $134.90	Professional	TC	$47.86	$70.79	$134.90
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $173.78 / $186.21	Professional		$162.18	$173.78	$186.21
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 $95.50 / $102.33 / $104.71	Professional	TC	$95.50	$102.33	$104.71
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
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 $97.72 / $97.72 / $97.72	Professional	TC	$97.72	$97.72	$97.72
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $134.90 / $158.49	Professional		$97.72	$134.90	$158.49
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 $58.88 / $89.13 / $93.33	Professional	TC	$58.88	$89.13	$93.33
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $141.25 / $204.17	Professional		$91.20	$141.25	$204.17
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 $52.48 / $81.28 / $120.23	Professional	TC	$52.48	$81.28	$120.23
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $162.18 / $162.18	Professional		$138.04	$162.18	$162.18
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 $83.18 / $97.72 / $97.72	Professional	TC	$83.18	$97.72	$97.72

South Dakota rates for HCPCS 74248