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 $50.12 / $50.12 / $50.12	Facility	26	$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $371.54 / $478.63	Professional		$316.23	$371.54	$478.63
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $54.95 / $239.88	Professional	26	$47.86	$54.95	$239.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $269.15 / $323.59 / $416.87	Professional	TC	$269.15	$323.59	$416.87
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $812.83 / $1,023.29	Professional		$741.31	$812.83	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $114.82 / $144.54	Professional	26	$107.15	$114.82	$144.54
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $645.65 / $707.95 / $870.96	Professional	TC	$645.65	$707.95	$870.96
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $467.74 / $776.25	Professional		$323.59	$467.74	$776.25
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $67.61 / $144.54	Professional	26	$45.71	$67.61	$144.54
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $398.11 / $870.96	Professional	TC	$295.12	$398.11	$870.96
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 $120.23 / $120.23 / $120.23	Professional	26	$120.23	$120.23	$120.23
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $645.65 / $645.65 / $645.65	Professional	TC	$645.65	$645.65	$645.65
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $575.44 / $660.69	Professional		$426.58	$575.44	$660.69
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $85.11 / $95.50	Professional	26	$67.61	$85.11	$95.50
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $489.78 / $562.34	Professional	TC	$363.08	$489.78	$562.34
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $588.84 / $954.99	Professional		$363.08	$588.84	$954.99
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $95.50 / $134.90	Professional	26	$54.95	$95.50	$134.90
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $309.03 / $501.19 / $831.76	Professional	TC	$309.03	$501.19	$831.76
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $676.08 / $676.08	Professional		$575.44	$676.08	$676.08
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $100.00 / $100.00	Professional	26	$85.11	$100.00	$100.00
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $489.78 / $575.44 / $575.44	Professional	TC	$489.78	$575.44	$575.44

South Dakota rates for HCPCS 78803