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 / $72.44 / $72.44	Professional		$51.29	$72.44	$72.44
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 $32.36 / $48.98 / $48.98	Professional	TC	$32.36	$48.98	$48.98
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 / $42.66 / $63.10	Professional	26	$30.90	$42.66	$63.10
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $93.33 / $154.88	Professional	TC	$67.61	$93.33	$154.88
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $114.82 / $467.74	Professional		$41.69	$114.82	$467.74
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $46.77 / $186.21	Professional	26	$15.85	$46.77	$186.21
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $72.44 / $309.03	Professional	TC	$25.70	$72.44	$309.03
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $114.82 / $147.91	Professional		$114.82	$114.82	$147.91
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $46.77 / $46.77	Professional	26	$42.66	$46.77	$46.77
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $67.61 / $104.71	Professional	TC	$67.61	$67.61	$104.71
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 $30.90 / $41.69 / $47.86	Professional	26	$30.90	$41.69	$47.86
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $97.72 / $114.82	Professional	TC	$44.67	$97.72	$114.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $48.98 / $186.21	Professional		$41.69	$48.98	$186.21
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $15.85 / $53.70	Professional	26	$14.45	$15.85	$53.70
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $33.88 / $131.83	Professional	TC	$25.70	$33.88	$131.83
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $181.97 / $186.21	Professional		$144.54	$181.97	$186.21
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $53.70 / $54.95	Professional	26	$41.69	$53.70	$54.95
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $128.82 / $131.83	Professional	TC	$100.00	$128.82	$131.83

South Dakota rates for HCPCS 88161