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 $33.11 / $33.11 / $33.11	Facility	26	$33.11	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $181.97 / $223.87	Professional		$93.33	$181.97	$223.87
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $57.54 / $89.13	Professional	26	$30.90	$57.54	$89.13
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $120.23 / $251.19	Professional	TC	$69.18	$120.23	$251.19
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $181.97 / $190.55	Professional		$104.71	$181.97	$190.55
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $251.19 / $316.23	Professional		$199.53	$251.19	$316.23
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $75.86 / $95.50	Professional	26	$60.26	$75.86	$95.50
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $173.78 / $218.78	Professional	TC	$141.25	$173.78	$218.78
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $199.53 / $691.83	Professional		$100.00	$199.53	$691.83
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $67.61 / $257.04	Professional	26	$38.02	$67.61	$257.04
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $154.88 / $478.63	Professional	TC	$75.86	$154.88	$478.63
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $245.47 / $245.47	Professional		$223.87	$245.47	$245.47
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 $154.88 / $165.96 / $165.96	Professional	TC	$154.88	$165.96	$165.96
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $173.78 / $204.17	Professional		$123.03	$173.78	$204.17
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $53.70 / $63.10	Professional	26	$40.74	$53.70	$63.10
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $123.03 / $141.25	Professional	TC	$87.10	$123.03	$141.25
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $165.96 / $251.19	Professional		$114.82	$165.96	$251.19
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $53.70 / $77.62	Professional	26	$34.67	$53.70	$77.62
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $114.82 / $186.21	Professional	TC	$81.28	$114.82	$186.21
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $218.78 / $218.78	Professional		$186.21	$218.78	$218.78
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 $128.82 / $151.36 / $151.36	Professional	TC	$128.82	$151.36	$151.36

South Dakota rates for HCPCS 76856