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 $34.67 / $34.67 / $34.67	Facility	26	$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $338.84 / $501.19	Professional		$269.15	$338.84	$501.19
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $79.43 / $154.88	Professional	26	$32.36	$79.43	$154.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $302.00 / $446.68	Professional	TC	$234.42	$302.00	$446.68
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $104.71 / $144.54	Professional		$104.71	$104.71	$144.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $707.95 / $870.96	Professional		$645.65	$707.95	$870.96
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $79.43 / $100.00	Professional	26	$74.13	$79.43	$100.00
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $562.34 / $616.60 / $776.25	Professional	TC	$562.34	$616.60	$776.25
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $446.68 / $741.31	Professional		$281.84	$446.68	$741.31
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $47.86 / $102.33	Professional	26	$31.62	$47.86	$102.33
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $398.11 / $870.96	Professional	TC	$257.04	$398.11	$870.96
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Professional	26	$85.11	$85.11	$85.11
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $660.69 / $660.69 / $660.69	Professional	TC	$660.69	$660.69	$660.69
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $562.34 / $575.44	Professional		$407.38	$562.34	$575.44
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $61.66 / $66.07	Professional	26	$44.67	$61.66	$66.07
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $501.19 / $524.81	Professional	TC	$363.08	$501.19	$524.81
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $562.34 / $831.76	Professional		$354.81	$562.34	$831.76
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $61.66 / $93.33	Professional	26	$40.74	$61.66	$93.33
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $316.23 / $501.19 / $724.44	Professional	TC	$316.23	$501.19	$724.44
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $588.84 / $588.84	Professional		$501.19	$588.84	$588.84
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $69.18 / $69.18	Professional	26	$58.88	$69.18	$69.18
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $436.52 / $512.86 / $512.86	Professional	TC	$436.52	$512.86	$512.86

South Dakota rates for HCPCS 78226