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 $37.15 / $37.15 / $37.15	Facility	26	$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $128.82 / $181.97	Professional		$77.62	$128.82	$181.97
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $72.44 / $125.89	Professional	26	$35.48	$72.44	$125.89
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $87.10 / $389.05	Professional	TC	$47.86	$87.10	$389.05
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $144.54 / $154.88	Professional		$85.11	$144.54	$154.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $204.17 / $257.04	Professional		$162.18	$204.17	$257.04
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $85.11 / $107.15	Professional	26	$69.18	$85.11	$107.15
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $120.23 / $147.91	Professional	TC	$95.50	$120.23	$147.91
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $158.49 / $549.54	Professional		$83.18	$158.49	$549.54
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $77.62 / $269.15	Professional	26	$38.90	$77.62	$269.15
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $104.71 / $354.81	Professional	TC	$51.29	$104.71	$354.81
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $199.53 / $199.53	Professional		$181.97	$199.53	$199.53
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $91.20 / $91.20	Professional	26	$77.62	$91.20	$91.20
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $109.65 / $109.65	Professional	TC	$107.15	$109.65	$109.65
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $141.25 / $165.96	Professional		$104.71	$141.25	$165.96
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $61.66 / $69.18	Professional	26	$45.71	$61.66	$69.18
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $81.28 / $95.50	Professional	TC	$58.88	$81.28	$95.50
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $138.04 / $199.53	Professional		$93.33	$138.04	$199.53
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $58.88 / $85.11	Professional	26	$38.90	$58.88	$85.11
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $77.62 / $112.20	Professional	TC	$54.95	$77.62	$112.20
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 $64.57 / $75.86 / $75.86	Professional	26	$64.57	$75.86	$75.86
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $104.71 / $104.71	Professional	TC	$89.13	$104.71	$104.71

South Dakota rates for HCPCS 76819