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 $30.90 / $30.90 / $30.90	Facility	26	$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $70.79 / $120.23	Professional		$54.95	$70.79	$120.23
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $30.90 / $48.98	Professional	26	$23.99	$30.90	$48.98
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $38.90 / $69.18	Professional	TC	$30.20	$38.90	$69.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $162.18 / $204.17	Professional		$131.83	$162.18	$204.17
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 $74.13 / $91.20 / $114.82	Professional	TC	$74.13	$91.20	$114.82
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $138.04 / $501.19	Professional		$67.61	$138.04	$501.19
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $58.88 / $323.59	Professional	26	$28.18	$58.88	$323.59
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $85.11 / $323.59	Professional	TC	$42.66	$85.11	$323.59
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $147.91 / $147.91	Professional		$144.54	$147.91	$147.91
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $72.44 / $72.44	Professional	26	$64.57	$72.44	$72.44
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $75.86 / $81.28	Professional	TC	$75.86	$75.86	$81.28
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $114.82 / $141.25	Professional		$81.28	$114.82	$141.25
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $48.98 / $58.88	Professional	26	$33.88	$48.98	$58.88
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $64.57 / $89.13	Professional	TC	$45.71	$64.57	$89.13
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $120.23 / $186.21	Professional		$74.13	$120.23	$186.21
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $48.98 / $69.18	Professional	26	$31.62	$48.98	$69.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $66.07 / $107.15	Professional	TC	$41.69	$66.07	$107.15
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $141.25 / $141.25	Professional		$120.23	$141.25	$141.25
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 $67.61 / $79.43 / $79.43	Professional	TC	$67.61	$79.43	$79.43

South Dakota rates for HCPCS 76519