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 $26.92 / $26.92 / $26.92	Facility	26	$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $89.13 / $147.91	Professional		$51.29	$89.13	$147.91
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $45.71 / $75.86	Professional	26	$25.12	$45.71	$75.86
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $47.86 / $102.33	Professional	TC	$25.12	$47.86	$102.33
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $138.04 / $169.82	Professional		$109.65	$138.04	$169.82
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 $60.26 / $74.13 / $93.33	Professional	TC	$60.26	$74.13	$93.33
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $147.91 / $446.68	Professional		$75.86	$147.91	$446.68
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $53.70 / $263.03	Professional	26	$27.54	$53.70	$263.03
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $100.00 / $398.11	Professional	TC	$52.48	$100.00	$398.11
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $199.53 / $199.53	Professional		$123.03	$199.53	$199.53
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $63.10 / $63.10	Professional	26	$57.54	$63.10	$63.10
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $134.90 / $134.90	Professional	TC	$66.07	$134.90	$134.90
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $112.20 / $147.91	Professional		$77.62	$112.20	$147.91
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $44.67 / $52.48	Professional	26	$33.11	$44.67	$52.48
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $60.26 / $100.00	Professional	TC	$39.81	$60.26	$100.00
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $117.49 / $177.83	Professional		$67.61	$117.49	$177.83
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $43.65 / $74.13	Professional	26	$28.18	$43.65	$74.13
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $72.44 / $125.89	Professional	TC	$36.31	$72.44	$125.89
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $120.23 / $120.23	Professional		$102.33	$120.23	$120.23
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 $54.95 / $64.57 / $64.57	Professional	TC	$54.95	$64.57	$64.57

South Dakota rates for HCPCS 76604