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 $25.12 / $25.12 / $338.84	Facility		$25.12	$25.12	$338.84
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.02 / $3.02 / $3.02	Facility	26	$3.02	$3.02	$3.02
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $23.99 / $47.86	Professional		$18.20	$23.99	$47.86
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.00 / $3.02 / $6.76	Professional	26	$2.00	$3.02	$6.76
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $21.88 / $38.02	Professional	TC	$18.20	$21.88	$38.02
Avera Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $48.98 / $61.66	Professional		$42.66	$48.98	$61.66
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.62 / $5.75 / $7.24	Professional	26	$5.62	$5.75	$7.24
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $42.66 / $53.70	Professional	TC	$36.31	$42.66	$53.70
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.30 / $40.74 / $64.57	Facility		$26.30	$40.74	$64.57
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $33.11 / $309.03	Professional		$20.89	$33.11	$309.03
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.02 / $5.13 / $128.82	Professional	26	$3.02	$5.13	$128.82
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $30.20 / $251.19	Professional	TC	$17.78	$30.20	$251.19
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $47.86 / $54.95	Professional		$39.81	$47.86	$54.95
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.89 / $7.08 / $7.08	Professional	26	$5.89	$7.08	$7.08
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $40.74 / $47.86	Professional	TC	$33.88	$40.74	$47.86
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $6.61 / $6.61	Professional	26	$6.61	$6.61	$6.61
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Professional	TC	$35.48	$35.48	$35.48
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $38.02 / $46.77	Professional		$25.12	$38.02	$46.77
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.72 / $5.37 / $12.88	Professional	26	$3.72	$5.37	$12.88
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $33.11 / $38.90	Professional	TC	$20.89	$33.11	$38.90
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $34.67 / $51.29	Professional		$22.91	$34.67	$51.29
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.24 / $4.79 / $8.51	Professional	26	$3.24	$4.79	$8.51
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $27.54 / $44.67	Professional	TC	$19.50	$27.54	$44.67
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $50.12 / $52.48	Professional		$42.66	$50.12	$52.48
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.50 / $6.46 / $6.76	Professional	26	$5.50	$6.46	$6.76
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $43.65 / $45.71	Professional	TC	$37.15	$43.65	$45.71

South Dakota rates for HCPCS 92285