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 $47.86 / $47.86 / $47.86	Facility	26	$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $338.84 / $426.58	Professional		$281.84	$338.84	$426.58
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $47.86 / $177.83	Professional	26	$45.71	$47.86	$177.83
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $295.12 / $371.54	Professional	TC	$245.47	$295.12	$371.54
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $741.31 / $933.25	Professional		$691.83	$741.31	$933.25
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $109.65 / $138.04	Professional	26	$100.00	$109.65	$138.04
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $588.84 / $645.65 / $794.33	Professional	TC	$588.84	$645.65	$794.33
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $467.74 / $776.25	Professional		$302.00	$467.74	$776.25
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $66.07 / $141.25	Professional	26	$43.65	$66.07	$141.25
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $407.38 / $891.25	Professional	TC	$263.03	$407.38	$891.25
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $117.49 / $117.49 / $117.49	Professional	26	$117.49	$117.49	$117.49
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 $416.87 / $575.44 / $602.56	Professional		$416.87	$575.44	$602.56
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $83.18 / $91.20	Professional	26	$64.57	$83.18	$91.20
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $489.78 / $524.81	Professional	TC	$354.81	$489.78	$524.81
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $588.84 / $870.96	Professional		$323.59	$588.84	$870.96
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $91.20 / $128.82	Professional	26	$51.29	$91.20	$128.82
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $269.15 / $467.74 / $741.31	Professional	TC	$269.15	$467.74	$741.31
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $630.96 / $630.96	Professional		$537.03	$630.96	$630.96
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $95.50 / $95.50	Professional	26	$81.28	$95.50	$95.50
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 78315