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 $33.11 / $44.67 / $44.67	Facility	26	$33.11	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $134.90 / $181.97	Professional		$120.23	$134.90	$181.97
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $44.67 / $64.57	Professional	26	$38.90	$44.67	$64.57
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $89.13 / $128.82	Professional	TC	$77.62	$89.13	$128.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $316.23 / $398.11	Professional		$257.04	$316.23	$398.11
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $104.71 / $131.83	Professional	26	$83.18	$104.71	$131.83
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $213.80 / $269.15	Professional	TC	$169.82	$213.80	$269.15
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $218.78 / $1,047.13	Professional		$128.82	$218.78	$1,047.13
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $77.62 / $288.40	Professional	26	$48.98	$77.62	$288.40
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $162.18 / $776.25	Professional	TC	$97.72	$162.18	$776.25
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $257.04 / $281.84	Professional		$245.47	$257.04	$281.84
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $95.50 / $112.20	Professional	26	$91.20	$95.50	$112.20
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $169.82 / $186.21	Professional	TC	$134.90	$169.82	$186.21
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Professional	26	$100.00	$100.00	$100.00
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 $169.82 / $239.88 / $269.15	Professional		$169.82	$239.88	$269.15
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $75.86 / $87.10	Professional	26	$56.23	$75.86	$87.10
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $162.18 / $208.93	Professional	TC	$114.82	$162.18	$208.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $251.19 / $363.08	Professional		$162.18	$251.19	$363.08
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $83.18 / $123.03	Professional	26	$48.98	$83.18	$123.03
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $173.78 / $245.47	Professional	TC	$107.15	$173.78	$245.47
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $302.00 / $302.00	Professional		$257.04	$302.00	$302.00
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $102.33 / $102.33	Professional	26	$85.11	$102.33	$102.33
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $199.53 / $199.53	Professional	TC	$169.82	$199.53	$199.53

South Dakota rates for HCPCS 76380