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 $14.45 / $38.02 / $74.13	Professional		$14.45	$38.02	$74.13
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $19.05 / $41.69	Professional	26	$12.88	$19.05	$41.69
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $33.11 / $77.62	Professional	TC	$16.60	$33.11	$77.62
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $102.33 / $128.82	Professional		$66.07	$102.33	$128.82
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $34.67 / $43.65	Professional	26	$22.39	$34.67	$43.65
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $67.61 / $85.11	Professional	TC	$42.66	$67.61	$85.11
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $35.48 / $741.31	Professional		$19.50	$35.48	$741.31
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $16.22 / $95.50	Professional	26	$8.91	$16.22	$95.50
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.00 / $17.78 / $724.44	Professional	TC	$10.00	$17.78	$724.44
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $83.18 / $91.20	Professional		$37.15	$83.18	$91.20
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $30.20 / $32.36	Professional	26	$18.62	$30.20	$32.36
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $52.48 / $60.26	Professional	TC	$18.20	$52.48	$60.26
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
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 $54.95 / $54.95 / $54.95	Professional	TC	$54.95	$54.95	$54.95
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $51.29 / $83.18	Professional		$23.44	$51.29	$83.18
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $19.05 / $28.84	Professional	26	$10.00	$19.05	$28.84
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.18 / $33.11 / $54.95	Professional	TC	$13.18	$33.11	$54.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $40.74 / $91.20	Professional		$22.39	$40.74	$91.20
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $17.78 / $30.20	Professional	26	$9.55	$17.78	$30.20
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.49 / $23.44 / $60.26	Professional	TC	$13.49	$23.44	$60.26
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 76098