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 $64.57 / $64.57 / $64.57	Facility	26	$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $346.74 / $416.87	Professional		$281.84	$346.74	$416.87
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $70.79 / $229.09	Professional	26	$56.23	$70.79	$229.09
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $275.42 / $346.74	Professional	TC	$223.87	$275.42	$346.74
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $741.31 / $933.25	Professional		$676.08	$741.31	$933.25
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $134.90 / $147.91 / $186.21	Professional	26	$134.90	$147.91	$186.21
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $537.03 / $588.84 / $741.31	Professional	TC	$537.03	$588.84	$741.31
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $457.09 / $776.25	Professional		$295.12	$457.09	$776.25
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $87.10 / $190.55	Professional	26	$58.88	$87.10	$190.55
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $371.54 / $812.83	Professional	TC	$234.42	$371.54	$812.83
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 $158.49 / $158.49 / $158.49	Professional	26	$158.49	$158.49	$158.49
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $616.60 / $616.60 / $616.60	Professional	TC	$616.60	$616.60	$616.60
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $588.84 / $602.56	Professional		$426.58	$588.84	$602.56
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $112.20 / $123.03	Professional	26	$83.18	$112.20	$123.03
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $346.74 / $467.74 / $478.63	Professional	TC	$346.74	$467.74	$478.63
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $575.44 / $870.96	Professional		$371.54	$575.44	$870.96
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $120.23 / $181.97	Professional	26	$75.86	$120.23	$181.97
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $407.38 / $691.83	Professional	TC	$302.00	$407.38	$691.83
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $616.60 / $616.60	Professional		$524.81	$616.60	$616.60
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $125.89 / $125.89	Professional	26	$107.15	$125.89	$125.89
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $416.87 / $489.78 / $489.78	Professional	TC	$416.87	$489.78	$489.78

South Dakota rates for HCPCS 78451