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 $151.36 / $338.84 / $512.86	Professional		$151.36	$338.84	$512.86
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $158.49 / $562.34	Professional	26	$64.57	$158.49	$562.34
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $89.13 / $89.13	Professional	TC	$58.88	$89.13	$89.13
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $288.40 / $309.03	Professional		$151.36	$288.40	$309.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $269.15 / $446.68	Professional		$213.80	$269.15	$446.68
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $117.49 / $173.78	Professional	26	$83.18	$117.49	$173.78
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $131.83 / $162.18 / $269.15	Professional	TC	$131.83	$162.18	$269.15
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $186.21 / $389.05	Facility		$165.96	$186.21	$389.05
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $275.42 / $1,949.84	Professional		$93.33	$275.42	$1,949.84
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $177.83 / $436.52	Professional	26	$43.65	$177.83	$436.52
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $144.54 / $562.34	Professional	TC	$50.12	$144.54	$562.34
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $269.15 / $302.00	Professional		$269.15	$269.15	$302.00
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $117.49 / $131.83 / $131.83	Professional	26	$117.49	$131.83	$131.83
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $134.90 / $181.97	Professional	TC	$134.90	$134.90	$181.97
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $281.84 / $331.13	Professional		$165.96	$281.84	$331.13
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $117.49 / $131.83	Professional	26	$87.10	$117.49	$131.83
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $169.82 / $199.53	Professional	TC	$97.72	$169.82	$199.53
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $100.00 / $380.19	Professional		$93.33	$100.00	$380.19
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $43.65 / $147.91	Professional	26	$40.74	$43.65	$147.91
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $60.26 / $229.09	Professional	TC	$50.12	$60.26	$229.09
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $371.54 / $380.19	Professional		$288.40	$371.54	$380.19
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $147.91 / $147.91	Professional	26	$114.82	$147.91	$147.91
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $229.09 / $229.09	Professional	TC	$177.83	$229.09	$229.09

South Dakota rates for HCPCS 88173