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 Professional Modifier Typical Low / Median / Typical High $47.86 / $63.10 / $109.65	Professional		$47.86	$63.10	$109.65
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $41.69 / $107.15	Professional	26	$25.12	$41.69	$107.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $38.02 / $41.69	Professional	TC	$26.92	$38.02	$41.69
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $117.49 / $125.89	Professional		$72.44	$117.49	$125.89
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $117.49 / $177.83	Professional		$85.11	$117.49	$177.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $46.77 / $69.18	Professional	26	$33.11	$46.77	$69.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $64.57 / $107.15	Professional	TC	$51.29	$64.57	$107.15
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $107.15 / $165.96	Facility		$70.79	$107.15	$165.96
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $117.49 / $645.65	Professional		$40.74	$117.49	$645.65
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $69.18 / $512.86	Professional	26	$17.38	$69.18	$512.86
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $79.43 / $309.03	Professional	TC	$23.44	$79.43	$309.03
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $51.29 / $51.29	Professional	26	$46.77	$51.29	$51.29
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $64.57 / $72.44	Professional	TC	$64.57	$64.57	$72.44
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $125.89 / $154.88	Professional		$97.72	$125.89	$154.88
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $51.29 / $85.11	Professional	26	$38.90	$51.29	$85.11
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $69.18 / $79.43	Professional	TC	$54.95	$69.18	$79.43
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $40.74 / $151.36	Professional		$40.74	$40.74	$151.36
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $17.38 / $58.88	Professional	26	$15.85	$17.38	$58.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $24.55 / $91.20	Professional	TC	$23.44	$24.55	$91.20
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $147.91 / $151.36	Professional		$114.82	$147.91	$151.36
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $58.88 / $58.88	Professional	26	$45.71	$58.88	$58.88
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $89.13 / $91.20	Professional	TC	$69.18	$89.13	$91.20

South Dakota rates for HCPCS 88112