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. 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 $51.29 / $70.79 / $70.79	Professional		$51.29	$70.79	$70.79
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $22.91 / $31.62	Professional	26	$19.05	$22.91	$31.62
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $46.77 / $46.77	Professional	TC	$30.90	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $131.83 / $218.78	Professional		$104.71	$131.83	$218.78
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $43.65 / $64.57	Professional	26	$30.90	$43.65	$64.57
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $91.20 / $154.88	Professional	TC	$74.13	$91.20	$154.88
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $123.03 / $457.09	Professional		$43.65	$123.03	$457.09
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $48.98 / $158.49	Professional	26	$16.22	$48.98	$158.49
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $83.18 / $302.00	Professional	TC	$26.92	$83.18	$302.00
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $123.03 / $144.54	Professional		$123.03	$123.03	$144.54
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $47.86 / $47.86	Professional	26	$43.65	$47.86	$47.86
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $75.86 / $102.33	Professional	TC	$75.86	$75.86	$102.33
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $138.04 / $162.18	Professional		$77.62	$138.04	$162.18
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $43.65 / $48.98	Professional	26	$32.36	$43.65	$48.98
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $95.50 / $112.20	Professional	TC	$45.71	$95.50	$112.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $47.86 / $186.21	Professional		$43.65	$47.86	$186.21
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $16.22 / $54.95	Professional	26	$14.79	$16.22	$54.95
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $33.11 / $128.82	Professional	TC	$26.92	$33.11	$128.82
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $181.97 / $186.21	Professional		$141.25	$181.97	$186.21
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $54.95 / $54.95	Professional	26	$42.66	$54.95	$54.95
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $128.82 / $128.82	Professional	TC	$100.00	$128.82	$128.82

South Dakota rates for HCPCS 88160