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 $45.71 / $45.71 / $45.71	Facility	26	$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $234.42 / $281.84	Professional		$190.55	$234.42	$281.84
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $47.86 / $51.29	Professional	26	$39.81	$47.86	$51.29
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $181.97 / $223.87	Professional	TC	$147.91	$181.97	$223.87
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $501.19 / $616.60	Professional		$457.09	$501.19	$616.60
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $104.71 / $131.83	Professional	26	$97.72	$104.71	$131.83
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 $199.53 / $309.03 / $512.86	Professional		$199.53	$309.03	$512.86
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $63.10 / $134.90	Professional	26	$41.69	$63.10	$134.90
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $158.49 / $245.47 / $537.03	Professional	TC	$158.49	$245.47	$537.03
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 $112.20 / $112.20 / $112.20	Professional	26	$112.20	$112.20	$112.20
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 $288.40 / $380.19 / $398.11	Professional		$288.40	$380.19	$398.11
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $79.43 / $87.10	Professional	26	$61.66	$79.43	$87.10
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $229.09 / $295.12 / $316.23	Professional	TC	$229.09	$295.12	$316.23
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $389.05 / $588.84	Professional		$251.19	$389.05	$588.84
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $75.86 / $123.03	Professional	26	$50.12	$75.86	$123.03
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $316.23 / $457.09	Professional	TC	$199.53	$316.23	$457.09
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $416.87 / $416.87	Professional		$354.81	$416.87	$416.87
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $91.20 / $91.20	Professional	26	$77.62	$91.20	$91.20
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 78472