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 $8.91 / $8.91 / $8.91	Facility	26	$8.91	$8.91	$8.91
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $32.36 / $63.10	Professional		$28.18	$32.36	$63.10
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $8.91 / $26.92	Professional	26	$7.94	$8.91	$26.92
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $22.39 / $64.57	Professional	TC	$19.50	$22.39	$64.57
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $75.86 / $95.50	Professional		$60.26	$75.86	$95.50
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $21.38 / $26.92	Professional	26	$16.98	$21.38	$26.92
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $54.95 / $69.18	Professional	TC	$43.65	$54.95	$69.18
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $41.69 / $79.43	Professional		$28.18	$41.69	$79.43
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $16.22 / $30.90	Professional	26	$10.72	$16.22	$30.90
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $26.92 / $47.86	Professional	TC	$19.05	$26.92	$47.86
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $67.61 / $74.13	Professional		$61.66	$67.61	$74.13
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $19.95 / $23.44	Professional	26	$19.05	$19.95	$23.44
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $47.86 / $50.12	Professional	TC	$42.66	$47.86	$50.12
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $21.38 / $21.38	Professional	26	$21.38	$21.38	$21.38
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $45.71 / $45.71	Professional	TC	$45.71	$45.71	$45.71
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $46.77 / $61.66	Professional		$34.67	$46.77	$61.66
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $15.85 / $18.20	Professional	26	$12.02	$15.85	$18.20
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $33.11 / $43.65	Professional	TC	$20.89	$33.11	$43.65
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $47.86 / $70.79	Professional		$33.88	$47.86	$70.79
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $16.98 / $25.70	Professional	26	$10.72	$16.98	$25.70
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $33.11 / $47.86	Professional	TC	$20.42	$33.11	$47.86
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $69.18 / $69.18	Professional		$58.88	$69.18	$69.18
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $20.42 / $20.42	Professional	26	$17.38	$20.42	$20.42
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $48.98 / $48.98	Professional	TC	$41.69	$48.98	$48.98

South Dakota rates for HCPCS 77081