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 $83.18 / $114.82 / $114.82	Facility	26	$83.18	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $229.09 / $269.15	Professional		$199.53	$229.09	$269.15
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $114.82 / $138.04	Professional	26	$100.00	$114.82	$138.04
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $112.20 / $131.83	Professional	TC	$97.72	$112.20	$131.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $1,000.00 / $1,258.93	Professional		$645.65	$1,000.00	$1,258.93
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $208.93 / $263.03 / $331.13	Professional	26	$208.93	$263.03	$331.13
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $467.74 / $741.31 / $933.25	Professional	TC	$467.74	$741.31	$933.25
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $691.83 / $1,380.38	Professional		$416.87	$691.83	$1,380.38
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $120.23 / $181.97 / $338.84	Professional	26	$120.23	$181.97	$338.84
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $549.54 / $1,047.13	Professional	TC	$323.59	$549.54	$1,047.13
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $478.63 / $524.81	Professional		$436.52	$478.63	$524.81
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $229.09 / $239.88 / $281.84	Professional	26	$229.09	$239.88	$281.84
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $234.42 / $245.47	Professional	TC	$204.17	$234.42	$245.47
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Professional	26	$245.47	$245.47	$245.47
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $229.09 / $229.09 / $229.09	Professional	TC	$229.09	$229.09	$229.09
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $776.25 / $831.76	Professional		$524.81	$776.25	$831.76
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $138.04 / $194.98 / $218.78	Professional	26	$138.04	$194.98	$218.78
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $389.05 / $588.84 / $616.60	Professional	TC	$389.05	$588.84	$616.60
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $812.83 / $1,174.90	Professional		$446.68	$812.83	$1,174.90
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $204.17 / $302.00	Professional	26	$123.03	$204.17	$302.00
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $645.65 / $870.96	Professional	TC	$323.59	$645.65	$870.96
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $933.25 / $933.25	Professional		$794.33	$933.25	$933.25
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $218.78 / $257.04 / $257.04	Professional	26	$218.78	$257.04	$257.04
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $588.84 / $691.83 / $691.83	Professional	TC	$588.84	$691.83	$691.83

South Dakota rates for HCPCS 74261