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 $95.50 / $114.82 / $346.74	Professional		$95.50	$114.82	$346.74
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $75.86 / $100.00	Professional	26	$69.18	$75.86	$100.00
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $30.20 / $44.67	Professional	TC	$25.70	$30.20	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $181.97 / $281.84	Professional		$93.33	$181.97	$281.84
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $134.90 / $204.17	Professional	26	$67.61	$134.90	$204.17
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $51.29 / $79.43	Professional	TC	$25.70	$51.29	$79.43
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $162.18 / $707.95	Professional		$93.33	$162.18	$707.95
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $112.20 / $489.78	Professional	26	$69.18	$112.20	$489.78
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $35.48 / $213.80	Professional	TC	$22.39	$35.48	$213.80
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $229.09 / $229.09	Professional		$204.17	$229.09	$229.09
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $158.49 / $177.83 / $177.83	Professional	26	$158.49	$177.83	$177.83
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $52.48 / $52.48	Professional	TC	$45.71	$52.48	$52.48
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $165.96 / $204.17	Professional		$123.03	$165.96	$204.17
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $123.03 / $147.91	Professional	26	$89.13	$123.03	$147.91
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $39.81 / $58.88	Professional	TC	$32.36	$39.81	$58.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $134.90 / $213.80	Professional		$91.20	$134.90	$213.80
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $95.50 / $158.49	Professional	26	$66.07	$95.50	$158.49
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $35.48 / $61.66	Professional	TC	$23.99	$35.48	$61.66
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $177.83 / $186.21	Professional		$141.25	$177.83	$186.21
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $128.82 / $134.90	Professional	26	$102.33	$128.82	$134.90
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $48.98 / $51.29	Professional	TC	$38.90	$48.98	$51.29

South Dakota rates for HCPCS 92540