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 $37.15 / $37.15 / $37.15	Facility	26	$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $323.59 / $416.87	Professional		$269.15	$323.59	$416.87
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $141.25 / $158.49	Professional	26	$37.15	$141.25	$158.49
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $288.40 / $616.60	Professional	TC	$239.88	$288.40	$616.60
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $223.87 / $223.87	Professional		$169.82	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $707.95 / $891.25	Professional		$660.69	$707.95	$891.25
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $85.11 / $107.15	Professional	26	$77.62	$85.11	$107.15
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $575.44 / $630.96 / $794.33	Professional	TC	$575.44	$630.96	$794.33
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $457.09 / $758.58	Professional		$288.40	$457.09	$758.58
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $51.29 / $109.65	Professional	26	$33.88	$51.29	$109.65
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $407.38 / $891.25	Professional	TC	$257.04	$407.38	$891.25
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $89.13 / $89.13	Professional	26	$89.13	$89.13	$89.13
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 $371.54 / $501.19 / $588.84	Professional		$371.54	$501.19	$588.84
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $64.57 / $70.79	Professional	26	$48.98	$64.57	$70.79
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $436.52 / $512.86	Professional	TC	$323.59	$436.52	$512.86
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $501.19 / $831.76	Professional		$295.12	$501.19	$831.76
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $70.79 / $100.00	Professional	26	$39.81	$70.79	$100.00
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $436.52 / $741.31	Professional	TC	$257.04	$436.52	$741.31
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $602.56 / $602.56	Professional		$512.86	$602.56	$602.56
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $74.13 / $74.13	Professional	26	$63.10	$74.13	$74.13
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $446.68 / $524.81 / $524.81	Professional	TC	$446.68	$524.81	$524.81

South Dakota rates for HCPCS 78264