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 $15.14 / $15.14 / $15.14	Facility	26	$15.14	$15.14	$15.14
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $42.66 / $95.50	Professional		$38.02	$42.66	$95.50
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $15.85 / $35.48	Professional	26	$14.13	$15.85	$35.48
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $26.92 / $67.61	Professional	TC	$23.99	$26.92	$67.61
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $97.72 / $123.03	Professional		$79.43	$97.72	$123.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $34.67 / $43.65	Professional	26	$28.18	$34.67	$43.65
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $63.10 / $79.43	Professional	TC	$51.29	$63.10	$79.43
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $60.26 / $389.05	Professional		$38.02	$60.26	$389.05
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $25.70 / $102.33	Professional	26	$16.22	$25.70	$102.33
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $37.15 / $302.00	Professional	TC	$21.88	$37.15	$302.00
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $87.10 / $89.13	Professional		$81.28	$87.10	$89.13
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $32.36 / $37.15	Professional	26	$30.20	$32.36	$37.15
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $50.12 / $56.23	Professional	TC	$50.12	$50.12	$56.23
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $33.11 / $33.11	Professional	26	$33.11	$33.11	$33.11
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $50.12 / $50.12	Professional	TC	$50.12	$50.12	$50.12
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $67.61 / $107.15	Professional		$47.86	$67.61	$107.15
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $25.12 / $28.84	Professional	26	$18.20	$25.12	$28.84
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $43.65 / $87.10	Professional	TC	$28.18	$43.65	$87.10
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $72.44 / $93.33	Professional		$44.67	$72.44	$93.33
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $25.70 / $39.81	Professional	26	$16.22	$25.70	$39.81
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $43.65 / $60.26	Professional	TC	$26.30	$43.65	$60.26
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $83.18 / $83.18	Professional		$70.79	$83.18	$83.18
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $30.20 / $30.20	Professional	26	$25.70	$30.20	$30.20
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $53.70 / $53.70	Professional	TC	$44.67	$53.70	$53.70

South Dakota rates for HCPCS 74430