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 $218.78 / $602.56 / $851.14	Facility		$218.78	$602.56	$851.14
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $26.92 / $26.92 / $26.92	Facility	26	$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $199.53 / $316.23	Professional		$100.00	$199.53	$316.23
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $46.77 / $89.13	Professional	26	$25.12	$46.77	$89.13
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $120.23 / $302.00	Professional	TC	$79.43	$120.23	$302.00
Avera Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $190.55 / $302.00	Facility		$109.65	$190.55	$302.00
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $194.98 / $199.53	Professional		$109.65	$194.98	$199.53
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $263.03 / $331.13	Professional		$208.93	$263.03	$331.13
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $63.10 / $77.62	Professional	26	$50.12	$63.10	$77.62
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $199.53 / $251.19	Professional	TC	$162.18	$199.53	$251.19
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $199.53 / $707.95	Facility		$131.83	$199.53	$707.95
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $218.78 / $724.44	Professional		$104.71	$218.78	$724.44
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $54.95 / $257.04	Professional	26	$28.84	$54.95	$257.04
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $165.96 / $549.54	Professional	TC	$81.28	$165.96	$549.54
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $257.04 / $257.04	Professional		$234.42	$257.04	$257.04
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $64.57 / $64.57	Professional	26	$57.54	$64.57	$64.57
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $190.55 / $190.55	Professional	TC	$177.83	$190.55	$190.55
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $181.97 / $213.80	Professional		$128.82	$181.97	$213.80
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $43.65 / $51.29	Professional	26	$33.88	$43.65	$51.29
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $134.90 / $162.18	Professional	TC	$100.00	$134.90	$162.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $177.83 / $257.04	Professional		$117.49	$177.83	$257.04
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $43.65 / $72.44	Professional	26	$28.18	$43.65	$72.44
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $134.90 / $194.98	Professional	TC	$89.13	$134.90	$194.98
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $229.09 / $229.09	Professional		$194.98	$229.09	$229.09
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $56.23 / $56.23	Professional	26	$47.86	$56.23	$56.23
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $173.78 / $173.78	Professional	TC	$147.91	$173.78	$173.78

South Dakota rates for HCPCS 76536