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 $123.03 / $208.93 / $281.84	Professional		$123.03	$208.93	$281.84
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $93.33 / $186.21	Professional	26	$44.67	$93.33	$186.21
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $169.82 / $691.83	Professional	TC	$89.13	$169.82	$691.83
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $199.53 / $239.88	Professional		$138.04	$199.53	$239.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $323.59 / $398.11	Professional		$257.04	$323.59	$398.11
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $109.65 / $138.04	Professional	26	$89.13	$109.65	$138.04
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $208.93 / $263.03	Professional	TC	$169.82	$208.93	$263.03
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $257.04 / $870.96	Professional		$128.82	$257.04	$870.96
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $100.00 / $295.12	Professional	26	$51.29	$100.00	$295.12
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $186.21 / $575.44	Professional	TC	$93.33	$186.21	$575.44
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $316.23 / $316.23	Professional		$288.40	$316.23	$316.23
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 $186.21 / $199.53 / $199.53	Professional	TC	$186.21	$199.53	$199.53
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $218.78 / $263.03	Professional		$158.49	$218.78	$263.03
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 $104.71 / $147.91 / $169.82	Professional	TC	$104.71	$147.91	$169.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $213.80 / $316.23	Professional		$147.91	$213.80	$316.23
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $77.62 / $107.15	Professional	26	$50.12	$77.62	$107.15
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $141.25 / $204.17	Professional	TC	$97.72	$141.25	$204.17
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $281.84 / $281.84	Professional		$239.88	$281.84	$281.84
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 $154.88 / $181.97 / $181.97	Professional	TC	$154.88	$181.97	$181.97

South Dakota rates for HCPCS 76805