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 $52.48 / $64.57 / $64.57	Professional		$52.48	$64.57	$64.57
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $22.91 / $22.91	Professional	26	$19.05	$22.91	$22.91
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $41.69 / $41.69	Professional	TC	$32.36	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $120.23 / $177.83	Professional		$87.10	$120.23	$177.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $44.67 / $66.07	Professional	26	$31.62	$44.67	$66.07
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $75.86 / $114.82	Professional	TC	$54.95	$75.86	$114.82
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $128.82 / $436.52	Professional		$44.67	$128.82	$436.52
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $51.29 / $158.49	Professional	26	$16.60	$51.29	$158.49
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $93.33 / $281.84	Professional	TC	$28.18	$93.33	$281.84
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $128.82 / $128.82	Professional		$114.82	$128.82	$128.82
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $50.12 / $50.12	Professional	26	$42.66	$50.12	$50.12
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $79.43 / $79.43	Professional	TC	$72.44	$79.43	$79.43
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $120.23 / $134.90	Professional		$95.50	$120.23	$134.90
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $44.67 / $47.86	Professional	26	$33.88	$44.67	$47.86
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $77.62 / $85.11	Professional	TC	$60.26	$77.62	$85.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $44.67 / $158.49	Professional		$40.74	$44.67	$158.49
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $16.60 / $57.54	Professional	26	$14.45	$16.60	$57.54
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $28.18 / $102.33	Professional	TC	$25.70	$28.18	$102.33
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $144.54 / $144.54	Professional		$112.20	$144.54	$144.54
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $53.70 / $53.70	Professional	26	$41.69	$53.70	$53.70
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $91.20 / $91.20	Professional	TC	$70.79	$91.20	$91.20

South Dakota rates for HCPCS 88373