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 $21.88 / $21.88 / $21.88	Facility	26	$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $47.86 / $100.00	Professional		$38.02	$47.86	$100.00
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $22.91 / $36.31	Professional	26	$18.20	$22.91	$36.31
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $112.20 / $141.25	Professional		$89.13	$112.20	$141.25
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $53.70 / $66.07	Professional	26	$42.66	$53.70	$66.07
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $123.03 / $501.19	Professional		$48.98	$123.03	$501.19
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $50.12 / $323.59	Professional	26	$26.92	$50.12	$323.59
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $123.03 / $123.03	Professional		$100.00	$123.03	$123.03
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $53.70 / $53.70	Professional	26	$47.86	$53.70	$53.70
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $89.13 / $131.83	Professional		$57.54	$89.13	$131.83
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $38.02 / $52.48	Professional	26	$26.92	$38.02	$52.48
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $89.13 / $158.49	Professional		$51.29	$89.13	$158.49
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $40.74 / $63.10	Professional	26	$23.99	$40.74	$63.10
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $97.72 / $97.72	Professional		$83.18	$97.72	$97.72
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $46.77 / $46.77	Professional	26	$39.81	$46.77	$46.77

South Dakota rates for HCPCS 76516