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 $50.12 / $50.12 / $50.12	Facility	26	$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $154.88 / $190.55	Professional		$138.04	$154.88	$190.55
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $53.70 / $134.90	Professional	26	$41.69	$53.70	$134.90
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $104.71 / $141.25	Professional	TC	$95.50	$104.71	$141.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $363.08 / $457.09	Professional		$288.40	$363.08	$457.09
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $112.20 / $141.25	Professional	26	$91.20	$112.20	$141.25
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $251.19 / $309.03	Professional	TC	$199.53	$251.19	$309.03
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $223.87 / $1,023.29	Professional		$141.25	$223.87	$1,023.29
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $63.10 / $309.03	Professional	26	$38.02	$63.10	$309.03
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $104.71 / $186.21 / $707.95	Professional	TC	$104.71	$186.21	$707.95
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $323.59 / $354.81	Professional		$302.00	$323.59	$354.81
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $97.72 / $102.33	Professional	26	$79.43	$97.72	$102.33
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $218.78 / $275.42	Professional	TC	$204.17	$218.78	$275.42
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $107.15 / $107.15	Professional	26	$107.15	$107.15	$107.15
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 $181.97 / $245.47 / $295.12	Professional		$181.97	$245.47	$295.12
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $61.66 / $93.33	Professional	26	$44.67	$61.66	$93.33
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $173.78 / $199.53	Professional	TC	$123.03	$173.78	$199.53
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $269.15 / $380.19	Professional		$141.25	$269.15	$380.19
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $69.18 / $97.72	Professional	26	$38.90	$69.18	$97.72
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $104.71 / $186.21 / $288.40	Professional	TC	$104.71	$186.21	$288.40
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $302.00 / $302.00	Professional		$257.04	$302.00	$302.00
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $97.72 / $97.72	Professional	26	$83.18	$97.72	$97.72
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $204.17 / $204.17	Professional	TC	$173.78	$204.17	$204.17

South Dakota rates for HCPCS 74270