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 $89.13 / $112.20 / $120.23	Professional		$89.13	$112.20	$120.23
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $39.81 / $66.07	Professional	26	$33.11	$39.81	$66.07
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $72.44 / $79.43	Professional	TC	$54.95	$72.44	$79.43
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $213.80 / $316.23	Professional		$154.88	$213.80	$316.23
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $75.86 / $112.20	Professional	26	$54.95	$75.86	$112.20
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $138.04 / $204.17	Professional	TC	$100.00	$138.04	$204.17
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $229.09 / $891.25	Professional		$77.62	$229.09	$891.25
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $120.23 / $338.84	Professional	26	$27.54	$120.23	$338.84
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $173.78 / $549.54	Professional	TC	$48.98	$173.78	$549.54
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $229.09 / $229.09	Professional		$204.17	$229.09	$229.09
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $85.11 / $85.11	Professional	26	$72.44	$85.11	$85.11
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $144.54 / $144.54	Professional	TC	$128.82	$144.54	$144.54
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $223.87 / $263.03	Professional		$165.96	$223.87	$263.03
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $81.28 / $97.72	Professional	26	$60.26	$81.28	$97.72
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $144.54 / $165.96	Professional	TC	$107.15	$144.54	$165.96
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $77.62 / $309.03	Professional		$70.79	$77.62	$309.03
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $27.54 / $117.49	Professional	26	$25.12	$27.54	$117.49
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $48.98 / $190.55	Professional	TC	$46.77	$48.98	$190.55
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $251.19 / $257.04	Professional		$194.98	$251.19	$257.04
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $91.20 / $93.33	Professional	26	$70.79	$91.20	$93.33
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $162.18 / $162.18	Professional	TC	$125.89	$162.18	$162.18

South Dakota rates for HCPCS 88361