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 $42.66 / $45.71 / $45.71	Facility	26	$42.66	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $154.88 / $199.53	Professional		$128.82	$154.88	$199.53
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $45.71 / $60.26	Professional	26	$38.90	$45.71	$60.26
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $109.65 / $138.04	Professional	TC	$87.10	$109.65	$138.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $346.74 / $426.58	Professional		$269.15	$346.74	$426.58
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $89.13 / $112.20	Professional	26	$87.10	$89.13	$112.20
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $257.04 / $316.23	Professional	TC	$199.53	$257.04	$316.23
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $147.91 / $831.76	Professional		$89.13	$147.91	$831.76
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $70.79 / $263.03	Professional	26	$42.66	$70.79	$263.03
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $79.43 / $602.56	Professional	TC	$46.77	$79.43	$602.56
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $204.17 / $389.05	Professional		$177.83	$204.17	$389.05
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $95.50 / $104.71	Professional	26	$87.10	$95.50	$104.71
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $109.65 / $288.40	Professional	TC	$89.13	$109.65	$288.40
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $87.10 / $87.10	Professional	26	$87.10	$87.10	$87.10
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Professional	TC	$93.33	$93.33	$93.33
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $190.55 / $302.00	Professional		$112.20	$190.55	$302.00
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $70.79 / $81.28	Professional	26	$50.12	$70.79	$81.28
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $138.04 / $223.87	Professional	TC	$58.88	$138.04	$223.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $173.78 / $288.40	Professional		$104.71	$173.78	$288.40
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $64.57 / $109.65	Professional	26	$42.66	$64.57	$109.65
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $89.13 / $213.80	Professional	TC	$52.48	$89.13	$213.80
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $338.84 / $354.81	Professional		$288.40	$338.84	$354.81
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $91.20 / $93.33	Professional	26	$77.62	$91.20	$93.33
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $251.19 / $263.03	Professional	TC	$213.80	$251.19	$263.03

South Dakota rates for HCPCS 92235