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 $70.79 / $234.42 / $467.74	Professional		$70.79	$234.42	$467.74
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $69.18 / $288.40	Professional	26	$34.67	$69.18	$288.40
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $117.49 / $602.56	Professional	TC	$34.67	$117.49	$602.56
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $120.23 / $131.83	Professional		$63.10	$120.23	$131.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $125.89 / $194.98	Professional		$95.50	$125.89	$194.98
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $66.07 / $97.72	Professional	26	$46.77	$66.07	$97.72
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $61.66 / $97.72	Professional	TC	$47.86	$61.66	$97.72
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $114.82 / $190.55	Facility		$79.43	$114.82	$190.55
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $128.82 / $263.03	Professional		$42.66	$128.82	$263.03
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $93.33 / $158.49	Professional	26	$31.62	$93.33	$158.49
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $95.50 / $346.74	Professional	TC	$19.05	$95.50	$346.74
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $120.23 / $125.89	Professional		$120.23	$120.23	$125.89
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $69.18 / $69.18	Professional	26	$63.10	$69.18	$69.18
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $51.29 / $61.66	Professional	TC	$51.29	$51.29	$61.66
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $131.83 / $158.49	Professional		$100.00	$131.83	$158.49
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $63.10 / $69.18	Professional	26	$46.77	$63.10	$69.18
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $67.61 / $102.33	Professional	TC	$42.66	$67.61	$102.33
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $67.61 / $204.17	Professional		$42.66	$67.61	$204.17
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $38.02 / $100.00	Professional	26	$21.38	$38.02	$100.00
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $21.38 / $79.43	Professional	TC	$19.05	$21.38	$79.43
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $158.49 / $158.49	Professional		$123.03	$158.49	$158.49
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $79.43 / $79.43	Professional	26	$61.66	$79.43	$79.43
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $77.62 / $79.43	Professional	TC	$60.26	$77.62	$79.43

South Dakota rates for HCPCS 88305