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 $275.42 / $489.78 / $794.33	Facility		$275.42	$489.78	$794.33
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 $30.90 / $87.10 / $186.21	Professional		$30.90	$87.10	$186.21
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $47.86 / $89.13	Professional	26	$30.20	$47.86	$89.13
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $77.62 / $151.36 / $537.03	Professional	50	$77.62	$151.36	$537.03
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $81.28 / $380.19	Professional	TC	$52.48	$81.28	$380.19
Avera Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $147.91 / $302.00	Facility		$85.11	$147.91	$302.00
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $147.91 / $151.36	Professional		$85.11	$147.91	$151.36
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $204.17 / $251.19	Professional		$162.18	$204.17	$251.19
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $75.86 / $93.33	Professional	26	$60.26	$75.86	$93.33
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $125.89 / $158.49	Professional	TC	$102.33	$125.89	$158.49
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $138.04 / $446.68	Facility		$107.15	$138.04	$446.68
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $141.25 / $316.23	Professional		$81.28	$141.25	$316.23
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $63.10 / $123.03	Professional	26	$37.15	$63.10	$123.03
Medica Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $331.13 / $331.13 / $331.13	Professional	50	$331.13	$331.13	$331.13
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $102.33 / $338.84	Professional	TC	$54.95	$102.33	$338.84
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $194.98 / $194.98	Professional		$181.97	$194.98	$194.98
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $79.43 / $79.43	Professional	26	$69.18	$79.43	$79.43
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $117.49 / $117.49	Professional	TC	$112.20	$117.49	$117.49
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $144.54 / $165.96	Professional		$104.71	$144.54	$165.96
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $56.23 / $63.10	Professional	26	$39.81	$56.23	$63.10
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $89.13 / $102.33	Professional	TC	$64.57	$89.13	$102.33
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $131.83 / $194.98	Professional		$91.20	$131.83	$194.98
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $51.29 / $72.44	Professional	26	$34.67	$51.29	$72.44
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $79.43 / $120.23	Professional	TC	$56.23	$79.43	$120.23
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $177.83 / $177.83	Professional		$151.36	$177.83	$177.83
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 $93.33 / $109.65 / $109.65	Professional	TC	$93.33	$109.65	$109.65

South Dakota rates for HCPCS 76642