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 $81.28 / $109.65 / $109.65	Professional		$81.28	$109.65	$109.65
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $30.20 / $30.20	Professional	26	$25.12	$30.20	$30.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $77.62 / $77.62	Professional	TC	$56.23	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $190.55 / $302.00	Professional		$144.54	$190.55	$302.00
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $57.54 / $87.10	Professional	26	$41.69	$57.54	$87.10
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $134.90 / $213.80	Professional	TC	$102.33	$134.90	$213.80
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $190.55 / $1,202.26	Professional		$69.18	$190.55	$1,202.26
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $64.57 / $363.08	Professional	26	$21.38	$64.57	$363.08
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $128.82 / $912.01	Professional	TC	$47.86	$128.82	$912.01
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $64.57 / $64.57	Professional	26	$56.23	$64.57	$64.57
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $125.89 / $134.90	Professional	TC	$125.89	$125.89	$134.90
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $213.80 / $302.00	Professional		$151.36	$213.80	$302.00
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $61.66 / $87.10	Professional	26	$46.77	$61.66	$87.10
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $141.25 / $229.09	Professional	TC	$102.33	$141.25	$229.09
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $69.18 / $239.88	Professional		$67.61	$69.18	$239.88
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $21.38 / $72.44	Professional	26	$19.05	$21.38	$72.44
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $47.86 / $173.78	Professional	TC	$47.86	$47.86	$173.78
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $239.88 / $239.88	Professional		$186.21	$239.88	$239.88
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $70.79 / $70.79	Professional	26	$54.95	$70.79	$70.79
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $131.83 / $169.82 / $169.82	Professional	TC	$131.83	$169.82	$169.82

South Dakota rates for HCPCS 88367