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 $41.69 / $41.69 / $41.69	Facility	26	$41.69	$41.69	$41.69
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $457.09 / $676.08	Professional		$363.08	$457.09	$676.08
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $61.66 / $114.82	Professional	26	$39.81	$61.66	$114.82
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $407.38 / $630.96	Professional	TC	$323.59	$407.38	$630.96
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $870.96 / $933.25 / $1,174.90	Professional		$870.96	$933.25	$1,174.90
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $97.72 / $123.03	Professional	26	$89.13	$97.72	$123.03
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $776.25 / $851.14 / $1,047.13	Professional	TC	$776.25	$851.14	$1,047.13
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $616.60 / $1,000.00	Professional		$371.54	$616.60	$1,000.00
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $57.54 / $125.89	Professional	26	$38.90	$57.54	$125.89
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $346.74 / $549.54 / $1,202.26	Professional	TC	$346.74	$549.54	$1,202.26
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $104.71 / $104.71	Professional	26	$104.71	$104.71	$104.71
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $912.01 / $912.01 / $912.01	Professional	TC	$912.01	$912.01	$912.01
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $758.58 / $794.33	Professional		$549.54	$758.58	$794.33
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $74.13 / $81.28	Professional	26	$54.95	$74.13	$81.28
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $489.78 / $676.08 / $707.95	Professional	TC	$489.78	$676.08	$707.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $758.58 / $1,096.48	Professional		$478.63	$758.58	$1,096.48
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $75.86 / $114.82	Professional	26	$48.98	$75.86	$114.82
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $426.58 / $691.83 / $1,000.00	Professional	TC	$426.58	$691.83	$1,000.00
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $776.25 / $776.25	Professional		$660.69	$776.25	$776.25
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $83.18 / $83.18	Professional	26	$70.79	$83.18	$83.18
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $588.84 / $707.95 / $707.95	Professional	TC	$588.84	$707.95	$707.95

South Dakota rates for HCPCS 78227