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. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $363.08 / $416.87	Facility		$52.48	$363.08	$416.87
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $30.90 / $30.90 / $30.90	Facility	26	$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $75.86 / $309.03	Professional		$42.66	$75.86	$309.03
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $53.70 / $177.83	Professional	26	$26.92	$53.70	$177.83
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $83.18 / $83.18 / $83.18	Professional	50	$83.18	$83.18	$83.18
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $20.89 / $64.57	Professional	TC	$14.13	$20.89	$64.57
Avera Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $112.20 / $141.25	Professional		$91.20	$112.20	$141.25
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $70.79 / $89.13	Professional	26	$57.54	$70.79	$89.13
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $41.69 / $52.48	Professional	TC	$33.88	$41.69	$52.48
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $85.11 / $190.55	Facility		$61.66	$85.11	$190.55
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $141.25 / $660.69	Professional		$53.70	$141.25	$660.69
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $85.11 / $338.84	Professional	26	$38.02	$85.11	$338.84
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $64.57 / $407.38	Professional	TC	$25.70	$64.57	$407.38
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $138.04 / $138.04	Professional		$102.33	$138.04	$138.04
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $81.28 / $81.28	Professional	26	$64.57	$81.28	$81.28
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $57.54 / $57.54	Professional	TC	$38.02	$57.54	$57.54
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $93.33 / $154.88	Professional		$61.66	$93.33	$154.88
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $58.88 / $89.13	Professional	26	$37.15	$58.88	$89.13
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $34.67 / $66.07	Professional	TC	$22.91	$34.67	$66.07
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $102.33 / $186.21	Professional		$53.70	$102.33	$186.21
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $58.88 / $107.15	Professional	26	$33.11	$58.88	$107.15
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $39.81 / $87.10	Professional	TC	$21.38	$39.81	$87.10
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $100.00 / $100.00	Professional		$85.11	$100.00	$100.00
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $63.10 / $63.10	Professional	26	$53.70	$63.10	$63.10
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $37.15 / $37.15	Professional	TC	$31.62	$37.15	$37.15

South Dakota rates for HCPCS 76512