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 $14.13 / $14.13 / $14.13	Facility	26	$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $54.95 / $79.43	Professional		$46.77	$54.95	$79.43
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $14.13 / $33.11	Professional	26	$12.88	$14.13	$33.11
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $40.74 / $54.95	Professional	TC	$33.88	$40.74	$54.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $128.82 / $162.18	Professional		$102.33	$128.82	$162.18
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $32.36 / $40.74	Professional	26	$26.30	$32.36	$40.74
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $97.72 / $120.23	Professional	TC	$77.62	$97.72	$120.23
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $83.18 / $158.49	Professional		$51.29	$83.18	$158.49
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $22.91 / $42.66	Professional	26	$15.49	$22.91	$42.66
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $61.66 / $114.82	Professional	TC	$40.74	$61.66	$114.82
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $114.82 / $120.23	Professional		$104.71	$114.82	$120.23
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $30.20 / $34.67	Professional	26	$28.84	$30.20	$34.67
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $85.11 / $87.10	Professional	TC	$75.86	$85.11	$87.10
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $30.90 / $30.90	Professional	26	$30.90	$30.90	$30.90
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Professional	TC	$79.43	$79.43	$79.43
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $91.20 / $104.71	Professional		$63.10	$91.20	$104.71
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $25.12 / $26.92	Professional	26	$17.38	$25.12	$26.92
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $67.61 / $77.62	Professional	TC	$45.71	$67.61	$77.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $95.50 / $141.25	Professional		$61.66	$95.50	$141.25
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $26.30 / $38.02	Professional	26	$16.60	$26.30	$38.02
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $69.18 / $102.33	Professional	TC	$44.67	$69.18	$102.33
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $117.49 / $117.49	Professional		$100.00	$117.49	$117.49
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $30.20 / $30.20	Professional	26	$25.70	$30.20	$30.20
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $87.10 / $87.10	Professional	TC	$74.13	$87.10	$87.10

South Dakota rates for HCPCS 77085