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. 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 / $85.11 / $112.20	Professional		$70.79	$85.11	$112.20
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $18.20 / $29.51	Professional	26	$15.85	$18.20	$29.51
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $67.61 / $83.18	Professional	TC	$54.95	$67.61	$83.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $158.49 / $234.42	Professional		$112.20	$158.49	$234.42
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $34.67 / $51.29	Professional	26	$25.12	$34.67	$51.29
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $117.49 / $181.97	Professional	TC	$89.13	$117.49	$181.97
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $141.25 / $630.96	Professional		$58.88	$141.25	$630.96
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $41.69 / $169.82	Professional	26	$13.80	$41.69	$169.82
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $100.00 / $501.19	Professional	TC	$44.67	$100.00	$501.19
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $158.49 / $158.49	Professional		$151.36	$158.49	$158.49
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $41.69 / $41.69	Professional	26	$33.88	$41.69	$41.69
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $117.49 / $117.49	Professional	TC	$114.82	$117.49	$117.49
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $141.25 / $165.96	Professional		$112.20	$141.25	$165.96
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $36.31 / $38.90	Professional	26	$28.18	$36.31	$38.90
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $109.65 / $128.82	Professional	TC	$79.43	$109.65	$128.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $58.88 / $190.55	Professional		$53.70	$58.88	$190.55
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $13.80 / $45.71	Professional	26	$11.75	$13.80	$45.71
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $44.67 / $147.91	Professional	TC	$41.69	$44.67	$147.91
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $186.21 / $190.55	Professional		$144.54	$186.21	$190.55
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $42.66 / $42.66	Professional	26	$33.11	$42.66	$42.66
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $144.54 / $147.91	Professional	TC	$112.20	$144.54	$147.91

South Dakota rates for HCPCS 88314