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 $77.62 / $223.87 / $234.42	Professional		$77.62	$223.87	$234.42
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $26.92 / $43.65	Professional	26	$11.22	$26.92	$43.65
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $69.18 / $190.55	Professional	TC	$67.61	$69.18	$190.55
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $144.54 / $154.88	Professional		$87.10	$144.54	$154.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $144.54 / $223.87	Professional		$109.65	$144.54	$223.87
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $20.42 / $30.90	Professional	26	$14.79	$20.42	$30.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $123.03 / $194.98	Professional	TC	$93.33	$123.03	$194.98
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $93.33 / $169.82	Facility		$70.79	$93.33	$169.82
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $125.89 / $512.86	Professional		$45.71	$125.89	$512.86
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $20.89 / $87.10	Professional	26	$7.41	$20.89	$87.10
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $104.71 / $436.52	Professional	TC	$38.90	$104.71	$436.52
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $123.03 / $144.54	Professional		$123.03	$123.03	$144.54
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $21.88 / $21.88	Professional	26	$20.42	$21.88	$21.88
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $102.33 / $123.03	Professional	TC	$102.33	$102.33	$123.03
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $134.90 / $158.49	Professional		$100.00	$134.90	$158.49
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $20.42 / $22.39	Professional	26	$15.14	$20.42	$22.39
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $114.82 / $138.04	Professional	TC	$83.18	$114.82	$138.04
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $50.12 / $181.97	Professional		$45.71	$50.12	$181.97
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.92 / $7.41 / $25.12	Professional	26	$6.92	$7.41	$25.12
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $42.66 / $158.49	Professional	TC	$38.90	$42.66	$158.49
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $177.83 / $181.97	Professional		$138.04	$177.83	$181.97
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $25.70 / $25.70	Professional	26	$19.95	$25.70	$25.70
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $154.88 / $154.88	Professional	TC	$120.23	$154.88	$154.88

South Dakota rates for HCPCS 88313