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 $39.81 / $43.65 / $114.82	Professional		$39.81	$43.65	$114.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $15.14 / $35.48	Professional	26	$10.23	$15.14	$35.48
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $28.84 / $104.71	Professional	TC	$25.12	$28.84	$104.71
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $102.33 / $125.89	Professional		$81.28	$102.33	$125.89
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $33.88 / $42.66	Professional	26	$27.54	$33.88	$42.66
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $67.61 / $85.11	Professional	TC	$53.70	$67.61	$85.11
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $75.86 / $478.63	Professional		$40.74	$75.86	$478.63
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $16.98 / $213.80	Professional	26	$9.33	$16.98	$213.80
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $58.88 / $426.58	Professional	TC	$32.36	$58.88	$426.58
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $91.20 / $104.71	Professional		$83.18	$91.20	$104.71
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $32.36 / $35.48	Professional	26	$29.51	$32.36	$35.48
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $60.26 / $69.18	Professional	TC	$53.70	$60.26	$69.18
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $32.36 / $32.36	Professional	26	$32.36	$32.36	$32.36
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $53.70 / $53.70	Professional	TC	$53.70	$53.70	$53.70
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $77.62 / $138.04	Professional		$52.48	$77.62	$138.04
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $20.89 / $28.84	Professional	26	$10.96	$20.89	$28.84
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $54.95 / $125.89	Professional	TC	$34.67	$54.95	$125.89
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $81.28 / $117.49	Professional		$46.77	$81.28	$117.49
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $17.38 / $30.90	Professional	26	$10.23	$17.38	$30.90
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $61.66 / $85.11	Professional	TC	$30.20	$61.66	$85.11
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $87.10 / $87.10	Professional		$74.13	$87.10	$87.10
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 $47.86 / $56.23 / $56.23	Professional	TC	$47.86	$56.23	$56.23

South Dakota rates for HCPCS 76000