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 $28.18 / $28.18 / $28.18	Facility	26	$28.18	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $109.65 / $245.47	Professional		$87.10	$109.65	$245.47
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $30.20 / $112.20	Professional	26	$22.91	$30.20	$112.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $79.43 / $204.17	Professional	TC	$64.57	$79.43	$204.17
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $251.19 / $316.23	Professional		$204.17	$251.19	$316.23
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $66.07 / $83.18	Professional	26	$53.70	$66.07	$83.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $151.36 / $186.21 / $234.42	Professional	TC	$151.36	$186.21	$234.42
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $173.78 / $676.08	Professional		$102.33	$173.78	$676.08
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $53.70 / $181.97	Professional	26	$29.51	$53.70	$181.97
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $141.25 / $489.78	Professional	TC	$77.62	$141.25	$489.78
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $239.88 / $239.88	Professional		$223.87	$239.88	$239.88
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $69.18 / $69.18	Professional	26	$60.26	$69.18	$69.18
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $169.82 / $169.82	Professional	TC	$165.96	$169.82	$169.82
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 $34.67 / $47.86 / $54.95	Professional	26	$34.67	$47.86	$54.95
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $131.83 / $151.36	Professional	TC	$93.33	$131.83	$151.36
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $162.18 / $295.12	Professional		$112.20	$162.18	$295.12
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $44.67 / $77.62	Professional	26	$30.20	$44.67	$77.62
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $114.82 / $218.78	Professional	TC	$81.28	$114.82	$218.78
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 $50.12 / $58.88 / $58.88	Professional	26	$50.12	$58.88	$58.88
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $162.18 / $162.18	Professional	TC	$138.04	$162.18	$162.18

South Dakota rates for HCPCS 76981