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 $47.86 / $47.86 / $47.86	Facility	26	$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $218.78 / $251.19	Professional		$104.71	$218.78	$251.19
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $85.11 / $169.82	Professional	26	$45.71	$85.11	$169.82
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $134.90 / $302.00	Professional	TC	$70.79	$134.90	$302.00
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $173.78 / $208.93	Professional		$117.49	$173.78	$208.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $275.42 / $346.74	Professional		$223.87	$275.42	$346.74
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $109.65 / $138.04	Professional	26	$87.10	$109.65	$138.04
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $169.82 / $208.93	Professional	TC	$134.90	$169.82	$208.93
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $229.09 / $758.58	Professional		$112.20	$229.09	$758.58
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $97.72 / $309.03	Professional	26	$51.29	$97.72	$309.03
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $147.91 / $467.74	Professional	TC	$74.13	$147.91	$467.74
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $275.42 / $275.42	Professional		$251.19	$275.42	$275.42
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $114.82 / $114.82	Professional	26	$100.00	$114.82	$114.82
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $158.49 / $158.49	Professional	TC	$147.91	$158.49	$158.49
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $190.55 / $223.87	Professional		$138.04	$190.55	$223.87
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $77.62 / $91.20	Professional	26	$57.54	$77.62	$91.20
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $114.82 / $134.90	Professional	TC	$83.18	$114.82	$134.90
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $186.21 / $269.15	Professional		$128.82	$186.21	$269.15
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $77.62 / $107.15	Professional	26	$48.98	$77.62	$107.15
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $112.20 / $165.96	Professional	TC	$77.62	$112.20	$165.96
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $245.47 / $245.47	Professional		$208.93	$245.47	$245.47
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $97.72 / $97.72	Professional	26	$83.18	$97.72	$97.72
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $144.54 / $144.54	Professional	TC	$123.03	$144.54	$144.54

South Dakota rates for HCPCS 76801