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 $25.70 / $25.70 / $25.70	Facility	26	$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $104.71 / $147.91	Professional		$93.33	$104.71	$147.91
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $26.92 / $38.90	Professional	26	$24.55	$26.92	$38.90
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $77.62 / $114.82	Professional	TC	$66.07	$77.62	$114.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $239.88 / $295.12	Professional		$190.55	$239.88	$295.12
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $61.66 / $75.86	Professional	26	$48.98	$61.66	$75.86
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $177.83 / $218.78	Professional	TC	$141.25	$177.83	$218.78
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $131.83 / $245.47	Professional		$87.10	$131.83	$245.47
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $40.74 / $75.86	Professional	26	$26.92	$40.74	$75.86
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $91.20 / $173.78	Professional	TC	$60.26	$91.20	$173.78
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $204.17 / $213.80	Professional		$194.98	$204.17	$213.80
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $54.95 / $63.10	Professional	26	$52.48	$54.95	$63.10
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $141.25 / $154.88	Professional	TC	$138.04	$141.25	$154.88
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $57.54 / $57.54	Professional	26	$57.54	$57.54	$57.54
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $138.04 / $138.04	Professional	TC	$138.04	$138.04	$138.04
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $151.36 / $190.55	Professional		$112.20	$151.36	$190.55
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $44.67 / $50.12	Professional	26	$33.11	$44.67	$50.12
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $104.71 / $141.25	Professional	TC	$79.43	$104.71	$141.25
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $173.78 / $218.78	Professional		$100.00	$173.78	$218.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $45.71 / $67.61	Professional	26	$27.54	$45.71	$67.61
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $120.23 / $162.18	Professional	TC	$72.44	$120.23	$162.18
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $213.80 / $213.80	Professional		$181.97	$213.80	$213.80
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $56.23 / $56.23	Professional	26	$47.86	$56.23	$56.23
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $158.49 / $158.49	Professional	TC	$134.90	$158.49	$158.49

South Dakota rates for HCPCS 77075