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 $39.81 / $89.13 / $165.96	Professional		$39.81	$89.13	$165.96
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $46.77 / $95.50	Professional	26	$10.23	$46.77	$95.50
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $89.13 / $229.09	Professional	TC	$30.20	$89.13	$229.09
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $72.44 / $77.62	Professional		$38.02	$72.44	$77.62
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $74.13 / $114.82	Professional		$56.23	$74.13	$114.82
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $19.50 / $28.84	Professional	26	$13.80	$19.50	$28.84
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $54.95 / $87.10	Professional	TC	$41.69	$54.95	$87.10
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $69.18 / $114.82	Facility		$47.86	$69.18	$114.82
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $74.13 / $363.08	Professional		$25.12	$74.13	$363.08
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $23.99 / $141.25	Professional	26	$7.08	$23.99	$141.25
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $52.48 / $269.15	Professional	TC	$17.78	$52.48	$269.15
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $69.18 / $74.13	Professional		$69.18	$69.18	$74.13
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $20.89 / $20.89	Professional	26	$19.05	$20.89	$20.89
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $47.86 / $54.95	Professional	TC	$47.86	$47.86	$54.95
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $79.43 / $95.50	Professional		$58.88	$79.43	$95.50
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $19.05 / $21.38	Professional	26	$14.13	$19.05	$21.38
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $61.66 / $74.13	Professional	TC	$41.69	$61.66	$74.13
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $38.02 / $93.33	Professional		$25.12	$38.02	$93.33
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $7.08 / $23.99	Professional	26	$6.61	$7.08	$23.99
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $19.05 / $70.79	Professional	TC	$17.78	$19.05	$70.79
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $93.33 / $95.50	Professional		$72.44	$93.33	$95.50
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $23.99 / $24.55	Professional	26	$18.62	$23.99	$24.55
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $69.18 / $70.79	Professional	TC	$53.70	$69.18	$70.79

South Dakota rates for HCPCS 88304