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 $107.15 / $316.23 / $338.84	Professional		$107.15	$316.23	$338.84
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $85.11 / $380.19	Professional	26	$25.70	$85.11	$380.19
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $229.09 / $478.63	Professional	TC	$83.18	$229.09	$478.63
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $190.55 / $204.17	Professional		$100.00	$190.55	$204.17
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $194.98 / $309.03	Professional		$147.91	$194.98	$309.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $46.77 / $69.18	Professional	26	$33.88	$46.77	$69.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $151.36 / $239.88	Professional	TC	$114.82	$151.36	$239.88
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $125.89 / $251.19	Facility		$100.00	$125.89	$251.19
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $199.53 / $707.95	Professional		$64.57	$199.53	$707.95
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $50.12 / $162.18	Professional	26	$16.60	$50.12	$162.18
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $128.82 / $549.54	Professional	TC	$47.86	$128.82	$549.54
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $194.98	Professional		$173.78	$173.78	$194.98
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $48.98 / $48.98	Professional	26	$44.67	$48.98	$48.98
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $123.03 / $151.36	Professional	TC	$123.03	$123.03	$151.36
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $186.21 / $218.78	Professional		$131.83	$186.21	$218.78
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $45.71 / $50.12	Professional	26	$33.11	$45.71	$50.12
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $141.25 / $165.96	Professional	TC	$100.00	$141.25	$165.96
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $67.61 / $245.47	Professional		$64.57	$67.61	$245.47
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $16.60 / $56.23	Professional	26	$15.49	$16.60	$56.23
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $52.48 / $190.55	Professional	TC	$47.86	$52.48	$190.55
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $245.47 / $245.47	Professional		$190.55	$245.47	$245.47
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $56.23 / $56.23	Professional	26	$43.65	$56.23	$56.23
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $190.55 / $190.55	Professional	TC	$147.91	$190.55	$190.55

South Dakota rates for HCPCS 88312