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 $64.57 / $64.57 / $64.57	Facility	26	$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $128.82 / $309.03	Professional		$109.65	$128.82	$309.03
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $67.61 / $213.80	Professional	26	$52.48	$67.61	$213.80
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $69.18 / $239.88	Professional	TC	$54.95	$69.18	$239.88
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $213.80 / $218.78	Professional		$213.80	$213.80	$218.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $288.40 / $363.08	Professional		$229.09	$288.40	$363.08
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $117.49 / $147.91 / $186.21	Professional	26	$117.49	$147.91	$186.21
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $141.25 / $177.83	Professional	TC	$114.82	$141.25	$177.83
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $218.78 / $3,090.30	Professional		$120.23	$218.78	$3,090.30
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $87.10 / $630.96	Professional	26	$60.26	$87.10	$630.96
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $128.82 / $2,818.38	Professional	TC	$81.28	$128.82	$2,818.38
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $269.15 / $295.12	Professional		$245.47	$269.15	$295.12
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $125.89 / $128.82 / $141.25	Professional	26	$125.89	$128.82	$141.25
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $125.89 / $165.96	Professional	TC	$114.82	$125.89	$165.96
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $144.54 / $144.54 / $144.54	Professional	26	$144.54	$144.54	$144.54
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $141.25 / $141.25	Professional	TC	$141.25	$141.25	$141.25
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $229.09 / $257.04	Professional		$158.49	$229.09	$257.04
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $95.50 / $128.82	Professional	26	$69.18	$95.50	$128.82
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $114.82 / $162.18	Professional	TC	$81.28	$114.82	$162.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $251.19 / $338.84	Professional		$151.36	$251.19	$338.84
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $91.20 / $134.90	Professional	26	$57.54	$91.20	$134.90
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $128.82 / $229.09	Professional	TC	$72.44	$128.82	$229.09
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $251.19 / $251.19	Professional		$213.80	$251.19	$251.19
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $134.90 / $134.90	Professional	26	$114.82	$134.90	$134.90
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $117.49 / $117.49	Professional	TC	$100.00	$117.49	$117.49

South Dakota rates for HCPCS 75625