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 $30.20 / $30.20 / $30.20	Facility	26	$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $181.97 / $213.80	Professional		$89.13	$181.97	$213.80
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $54.95 / $85.11	Professional	26	$28.18	$54.95	$85.11
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $147.91 / $234.42	Professional	TC	$70.79	$147.91	$234.42
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $173.78 / $173.78	Professional		$100.00	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $239.88 / $302.00	Professional		$190.55	$239.88	$302.00
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $70.79 / $89.13	Professional	26	$56.23	$70.79	$89.13
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 $83.18 / $138.04 / $660.69	Professional		$83.18	$138.04	$660.69
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $61.66 / $218.78	Professional	26	$32.36	$61.66	$218.78
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $77.62 / $457.09	Professional	TC	$43.65	$77.62	$457.09
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $234.42 / $234.42	Professional		$213.80	$234.42	$234.42
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $74.13 / $74.13	Professional	26	$64.57	$74.13	$74.13
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $162.18 / $162.18	Professional	TC	$147.91	$162.18	$162.18
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $165.96 / $194.98	Professional		$107.15	$165.96	$194.98
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $48.98 / $58.88	Professional	26	$38.02	$48.98	$58.88
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $114.82 / $134.90	Professional	TC	$58.88	$114.82	$134.90
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $125.89 / $218.78	Professional		$91.20	$125.89	$218.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $44.67 / $69.18	Professional	26	$32.36	$44.67	$69.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $85.11 / $154.88	Professional	TC	$56.23	$85.11	$154.88
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $208.93 / $208.93	Professional		$177.83	$208.93	$208.93
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $63.10 / $63.10	Professional	26	$53.70	$63.10	$63.10
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 76870