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 $97.72 / $134.90 / $154.88	Professional		$97.72	$134.90	$154.88
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $38.02 / $40.74	Professional	26	$30.90	$38.02	$40.74
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $97.72 / $112.20	Professional	TC	$66.07	$97.72	$112.20
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $269.15 / $281.84	Professional		$158.49	$269.15	$281.84
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $263.03 / $407.38	Professional		$199.53	$263.03	$407.38
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $74.13 / $112.20	Professional	26	$53.70	$74.13	$112.20
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $190.55 / $302.00	Professional	TC	$141.25	$190.55	$302.00
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $213.80 / $1,071.52	Professional		$79.43	$213.80	$1,071.52
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $75.86 / $389.05	Professional	26	$25.70	$75.86	$389.05
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $138.04 / $794.33	Professional	TC	$53.70	$138.04	$794.33
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $218.78 / $263.03	Professional		$218.78	$218.78	$263.03
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $77.62 / $77.62	Professional	26	$72.44	$77.62	$77.62
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $141.25 / $190.55	Professional	TC	$141.25	$141.25	$190.55
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $275.42 / $331.13	Professional		$169.82	$275.42	$331.13
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $77.62 / $93.33	Professional	26	$58.88	$77.62	$93.33
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $199.53 / $239.88	Professional	TC	$107.15	$199.53	$239.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $89.13 / $331.13	Professional		$79.43	$89.13	$331.13
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $25.70 / $89.13	Professional	26	$24.55	$25.70	$89.13
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $64.57 / $239.88	Professional	TC	$53.70	$64.57	$239.88
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $323.59 / $331.13	Professional		$251.19	$323.59	$331.13
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $89.13 / $91.20	Professional	26	$69.18	$89.13	$91.20
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $234.42 / $239.88	Professional	TC	$181.97	$234.42	$239.88

South Dakota rates for HCPCS 88368