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 $45.71 / $45.71 / $45.71	Facility	26	$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $64.57 / $85.11	Professional		$57.54	$64.57	$85.11
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $45.71 / $147.91	Professional	26	$39.81	$45.71	$147.91
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $19.95 / $29.51	Professional	TC	$16.98	$19.95	$29.51
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $154.88 / $194.98	Professional		$141.25	$154.88	$194.98
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $109.65 / $134.90	Professional	26	$100.00	$109.65	$134.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $45.71 / $57.54	Professional	TC	$41.69	$45.71	$57.54
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $83.18 / $147.91	Professional		$63.10	$83.18	$147.91
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $58.88 / $125.89	Professional	26	$39.81	$58.88	$125.89
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $25.12 / $54.95	Professional	TC	$16.22	$25.12	$54.95
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $107.15 / $107.15	Professional	26	$107.15	$107.15	$107.15
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Professional	TC	$41.69	$41.69	$41.69
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $107.15 / $128.82	Professional		$79.43	$107.15	$128.82
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $75.86 / $89.13	Professional	26	$54.95	$75.86	$89.13
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $31.62 / $37.15	Professional	TC	$23.44	$31.62	$37.15
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $104.71 / $181.97	Professional		$64.57	$104.71	$181.97
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $74.13 / $125.89	Professional	26	$43.65	$74.13	$125.89
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $32.36 / $54.95	Professional	TC	$20.89	$32.36	$54.95
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $141.25 / $141.25	Professional		$120.23	$141.25	$141.25
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $100.00 / $100.00	Professional	26	$85.11	$100.00	$100.00
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $41.69 / $41.69	Professional	TC	$35.48	$41.69	$41.69

South Dakota rates for HCPCS 77331