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 $42.66 / $42.66 / $42.66	Facility	26	$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $218.78 / $269.15	Professional		$186.21	$218.78	$269.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $173.78 / $218.78	Professional	TC	$147.91	$173.78	$218.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $489.78 / $616.60	Professional		$446.68	$489.78	$616.60
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $389.05 / $489.78	Professional	TC	$354.81	$389.05	$489.78
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $309.03 / $512.86	Professional		$194.98	$309.03	$512.86
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $158.49 / $251.19 / $549.54	Professional	TC	$158.49	$251.19	$549.54
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $107.15 / $107.15	Professional	26	$107.15	$107.15	$107.15
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $407.38 / $407.38 / $407.38	Professional	TC	$407.38	$407.38	$407.38
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $380.19 / $398.11	Professional		$281.84	$380.19	$398.11
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $74.13 / $83.18	Professional	26	$57.54	$74.13	$83.18
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $309.03 / $323.59	Professional	TC	$223.87	$309.03	$323.59
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $380.19 / $575.44	Professional		$245.47	$380.19	$575.44
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $316.23 / $457.09	Professional	TC	$194.98	$316.23	$457.09
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $407.38 / $407.38	Professional		$346.74	$407.38	$407.38
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $275.42 / $323.59 / $323.59	Professional	TC	$275.42	$323.59	$323.59

South Dakota rates for HCPCS 78469