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 $77.62 / $77.62 / $77.62	Facility	26	$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $457.09 / $1,778.28	Professional		$426.58	$457.09	$1,778.28
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $74.13 / $223.87	Professional	26	$70.79	$74.13	$223.87
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $416.87 / $602.56	Professional	TC	$323.59	$416.87	$602.56
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $446.68 / $446.68	Professional		$426.58	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $1,023.29 / $1,258.93	Professional		$933.25	$1,023.29	$1,258.93
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $162.18 / $173.78 / $218.78	Professional	26	$162.18	$173.78	$218.78
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 $407.38 / $645.65 / $1,071.52	Professional		$407.38	$645.65	$1,071.52
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $123.03 / $223.87	Professional	26	$69.18	$123.03	$223.87
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $346.74 / $537.03 / $1,174.90	Professional	TC	$346.74	$537.03	$1,174.90
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $186.21 / $186.21 / $186.21	Professional	26	$186.21	$186.21	$186.21
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $891.25 / $891.25 / $891.25	Professional	TC	$891.25	$891.25	$891.25
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $812.83 / $831.76	Professional		$588.84	$812.83	$831.76
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $131.83 / $144.54	Professional	26	$97.72	$131.83	$144.54
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $489.78 / $676.08 / $691.83	Professional	TC	$489.78	$676.08	$691.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $812.83 / $1,202.26	Professional		$524.81	$812.83	$1,202.26
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $144.54 / $204.17	Professional	26	$89.13	$144.54	$204.17
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $426.58 / $645.65 / $977.24	Professional	TC	$426.58	$645.65	$977.24
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $724.44 / $851.14 / $851.14	Professional		$724.44	$851.14	$851.14
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $125.89 / $151.36 / $151.36	Professional	26	$125.89	$151.36	$151.36
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $588.84 / $691.83 / $691.83	Professional	TC	$588.84	$691.83	$691.83

South Dakota rates for HCPCS 78452