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 $39.81 / $52.48 / $69.18	Professional		$39.81	$52.48	$69.18
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $93.33 / $93.33	Professional	26	$32.36	$93.33	$93.33
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.88 / $29.51 / $120.23	Professional	TC	$12.88	$29.51	$120.23
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $58.88 / $102.33	Professional		$50.12	$58.88	$102.33
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $97.72 / $147.91	Professional		$70.79	$97.72	$147.91
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $60.26 / $89.13	Professional	26	$42.66	$60.26	$89.13
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $34.67 / $57.54	Professional	TC	$27.54	$34.67	$57.54
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $100.00 / $478.63	Professional		$33.88	$100.00	$478.63
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $89.13 / $346.74	Professional	26	$22.39	$89.13	$346.74
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.48 / $35.48 / $331.13	Professional	TC	$11.48	$35.48	$331.13
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $100.00 / $100.00	Professional		$97.72	$100.00	$100.00
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $66.07 / $66.07	Professional	26	$60.26	$66.07	$66.07
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $32.36 / $38.02	Professional	TC	$32.36	$32.36	$38.02
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $95.50 / $109.65	Professional		$67.61	$95.50	$109.65
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $60.26 / $66.07	Professional	26	$44.67	$60.26	$66.07
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $37.15 / $42.66	Professional	TC	$25.70	$37.15	$42.66
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $33.88 / $123.03	Professional		$33.11	$33.88	$123.03
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $22.39 / $75.86	Professional	26	$20.42	$22.39	$75.86
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.48 / $12.88 / $48.98	Professional	TC	$11.48	$12.88	$48.98
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $123.03 / $125.89	Professional		$95.50	$123.03	$125.89
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $75.86 / $75.86	Professional	26	$58.88	$75.86	$75.86
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $47.86 / $48.98	Professional	TC	$37.15	$47.86	$48.98

South Dakota rates for HCPCS 88172