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 $89.13 / $89.13 / $89.13	Facility	26	$89.13	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $173.78 / $389.05	Professional		$151.36	$173.78	$389.05
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $89.13 / $120.23	Professional	26	$66.07	$89.13	$120.23
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $79.43 / $309.03	Professional	TC	$66.07	$79.43	$309.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $380.19 / $478.63	Professional		$302.00	$380.19	$478.63
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $165.96 / $204.17 / $257.04	Professional	26	$165.96	$204.17	$257.04
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $173.78 / $218.78	Professional	TC	$138.04	$173.78	$218.78
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $295.12 / $3,162.28	Professional		$151.36	$295.12	$3,162.28
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $117.49 / $676.08	Professional	26	$69.18	$117.49	$676.08
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $186.21 / $2,818.38	Professional	TC	$95.50	$186.21	$2,818.38
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $346.74 / $398.11	Professional		$316.23	$346.74	$398.11
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $181.97 / $194.98 / $218.78	Professional	26	$181.97	$194.98	$218.78
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $151.36 / $181.97	Professional	TC	$138.04	$151.36	$181.97
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Professional	26	$199.53	$199.53	$199.53
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Professional	TC	$162.18	$162.18	$162.18
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $309.03 / $331.13	Professional		$204.17	$309.03	$331.13
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $125.89 / $177.83	Professional	26	$85.11	$125.89	$177.83
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $138.04 / $229.09	Professional	TC	$93.33	$138.04	$229.09
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $323.59 / $446.68	Professional		$194.98	$323.59	$446.68
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $117.49 / $181.97	Professional	26	$67.61	$117.49	$181.97
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $158.49 / $309.03	Professional	TC	$87.10	$158.49	$309.03
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $323.59 / $323.59	Professional		$275.42	$323.59	$323.59
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $154.88 / $181.97 / $181.97	Professional	26	$154.88	$181.97	$181.97
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $144.54 / $144.54	Professional	TC	$123.03	$144.54	$144.54

South Dakota rates for HCPCS 75716