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 / $33.11 / $33.11	Facility	26	$33.11	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $77.62 / $131.83	Professional		$61.66	$77.62	$131.83
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $33.11 / $67.61	Professional	26	$25.70	$33.11	$67.61
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $44.67 / $69.18	Professional	TC	$36.31	$44.67	$69.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $177.83 / $223.87	Professional		$141.25	$177.83	$223.87
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $75.86 / $95.50	Professional	26	$60.26	$75.86	$95.50
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $102.33 / $128.82	Professional	TC	$81.28	$102.33	$128.82
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $181.97 / $588.84	Professional		$87.10	$181.97	$588.84
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $67.61 / $338.84	Professional	26	$33.88	$67.61	$338.84
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $114.82 / $354.81	Professional	TC	$60.26	$114.82	$354.81
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $223.87 / $223.87	Professional		$158.49	$223.87	$223.87
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $85.11 / $85.11	Professional	26	$67.61	$85.11	$85.11
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $138.04 / $138.04	Professional	TC	$91.20	$138.04	$138.04
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $125.89 / $158.49	Professional		$97.72	$125.89	$158.49
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $54.95 / $61.66	Professional	26	$38.90	$54.95	$61.66
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $75.86 / $100.00	Professional	TC	$57.54	$75.86	$100.00
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $144.54 / $208.93	Professional		$89.13	$144.54	$208.93
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $56.23 / $77.62	Professional	26	$33.88	$56.23	$77.62
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $89.13 / $120.23	Professional	TC	$52.48	$89.13	$120.23
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $154.88 / $154.88	Professional		$131.83	$154.88	$154.88
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $67.61 / $67.61	Professional	26	$57.54	$67.61	$67.61
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $89.13 / $89.13	Professional	TC	$75.86	$89.13	$89.13

South Dakota rates for HCPCS 76513