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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.96 / $10.96 / $10.96	Facility	26	$10.96	$10.96	$10.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $53.70 / $100.00	Professional		$26.92	$53.70	$100.00
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $17.78 / $37.15	Professional	26	$9.77	$17.78	$37.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $28.84 / $64.57	Professional	TC	$18.20	$28.84	$64.57
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $64.57 / $81.28	Professional		$63.10	$64.57	$81.28
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $21.38 / $26.92	Professional	26	$21.38	$21.38	$26.92
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $42.66 / $53.70	Professional	TC	$42.66	$42.66	$53.70
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $66.07 / $109.65	Professional		$32.36	$66.07	$109.65
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $23.44 / $38.90	Professional	26	$13.80	$23.44	$38.90
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $39.81 / $70.79	Professional	TC	$23.99	$39.81	$70.79
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $74.13 / $74.13	Professional		$67.61	$74.13	$74.13
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $25.70 / $28.18	Professional	26	$25.12	$25.70	$28.18
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $47.86 / $47.86	Professional	TC	$38.90	$47.86	$47.86
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Professional	26	$27.54	$27.54	$27.54
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $38.90 / $38.90	Professional	TC	$38.90	$38.90	$38.90
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $58.88 / $63.10	Professional		$38.02	$58.88	$63.10
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $19.95 / $23.99	Professional	26	$12.88	$19.95	$23.99
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $35.48 / $40.74	Professional	TC	$25.12	$35.48	$40.74
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $66.07 / $85.11	Professional		$38.90	$66.07	$85.11
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $22.91 / $29.51	Professional	26	$13.49	$22.91	$29.51
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $41.69 / $56.23	Professional	TC	$23.99	$41.69	$56.23
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $67.61 / $70.79	Professional		$57.54	$67.61	$70.79
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $22.91 / $23.99	Professional	26	$19.50	$22.91	$23.99
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $44.67 / $46.77	Professional	TC	$38.02	$44.67	$46.77

South Dakota rates for HCPCS 91200