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 $15.14 / $22.91 / $45.71	Professional		$15.14	$22.91	$45.71
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $33.11 / $66.07	Professional	26	$11.22	$33.11	$66.07
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $7.08 / $23.99 / $72.44	Professional	TC	$7.08	$23.99	$72.44
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $35.48 / $38.02	Professional		$21.38	$35.48	$38.02
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $36.31 / $53.70	Professional		$26.30	$36.31	$53.70
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $21.38 / $31.62	Professional	26	$15.14	$21.38	$31.62
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.96 / $14.79 / $22.39	Professional	TC	$10.96	$14.79	$22.39
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.39 / $23.99 / $54.95	Facility		$22.39	$23.99	$54.95
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $37.15 / $131.83	Professional		$12.88	$37.15	$131.83
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $21.38 / $95.50	Professional	26	$7.59	$21.38	$95.50
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.25 / $16.60 / $95.50	Professional	TC	$5.25	$16.60	$95.50
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $37.15 / $37.15	Professional		$35.48	$37.15	$37.15
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $22.91 / $22.91	Professional	26	$20.89	$22.91	$22.91
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.45 / $14.79 / $14.79	Professional	TC	$14.45	$14.79	$14.79
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $34.67 / $39.81	Professional		$25.12	$34.67	$39.81
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $20.89 / $23.44	Professional	26	$15.49	$20.89	$23.44
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $9.77 / $14.13 / $16.22	Professional	TC	$9.77	$14.13	$16.22
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $12.88 / $44.67	Professional		$12.30	$12.88	$44.67
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.92 / $7.59 / $26.30	Professional	26	$6.92	$7.59	$26.30
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.25 / $5.25 / $18.20	Professional	TC	$5.25	$5.25	$18.20
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $44.67 / $44.67	Professional		$34.67	$44.67	$44.67
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $26.30 / $26.30	Professional	26	$20.42	$26.30	$26.30
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $18.20 / $18.20	Professional	TC	$14.13	$18.20	$18.20

South Dakota rates for HCPCS 88311