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 Facility Modifier Typical Low / Median / Typical High $33.88 / $275.42 / $398.11	Facility		$33.88	$275.42	$398.11
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $20.89 / $22.91 / $22.91	Facility	26	$20.89	$22.91	$22.91
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $18.20 / $275.42 / $407.38	Facility	TC	$18.20	$275.42	$407.38
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $70.79 / $190.55	Professional		$33.11	$70.79	$190.55
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Professional	25	$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $19.95 / $57.54	Professional	26	$19.50	$19.95	$57.54
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $22.91 / $120.23	Professional	TC	$15.14	$22.91	$120.23
Avera Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $38.02 / $57.54	Facility		$32.36	$38.02	$57.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $79.43 / $97.72	Professional		$77.62	$79.43	$97.72
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $43.65 / $54.95	Professional	26	$43.65	$43.65	$54.95
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $35.48 / $43.65	Professional	TC	$34.67	$35.48	$43.65
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $45.71 / $66.07 / $117.49	Facility		$45.71	$66.07	$117.49
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $87.10 / $398.11	Professional		$38.90	$87.10	$398.11
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $35.48 / $131.83	Professional	26	$21.88	$35.48	$131.83
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $57.54 / $281.84	Professional	TC	$29.51	$57.54	$281.84
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $91.20 / $97.72	Professional		$89.13	$91.20	$97.72
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $47.86 / $51.29	Professional	26	$43.65	$47.86	$51.29
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $41.69 / $53.70	Professional	TC	$39.81	$41.69	$53.70
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $43.65 / $43.65	Professional	26	$43.65	$43.65	$43.65
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $47.86 / $47.86	Professional	TC	$47.86	$47.86	$47.86
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $70.79 / $120.23	Professional		$47.86	$70.79	$120.23
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $34.67 / $39.81	Professional	26	$25.12	$34.67	$39.81
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $31.62 / $81.28	Professional	TC	$22.39	$31.62	$81.28
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $72.44 / $144.54	Professional		$45.71	$72.44	$144.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $33.11 / $54.95	Professional	26	$21.88	$33.11	$54.95
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $44.67 / $97.72	Professional	TC	$20.89	$44.67	$97.72
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $79.43 / $83.18	Professional		$67.61	$79.43	$83.18
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $44.67 / $45.71	Professional	26	$38.02	$44.67	$45.71
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $35.48 / $37.15	Professional	TC	$30.20	$35.48	$37.15

South Dakota rates for HCPCS 92250