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 $25.70 / $28.84 / $56.23	Professional		$25.70	$28.84	$56.23
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $22.91 / $32.36	Professional	26	$21.88	$22.91	$32.36
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.02 / $3.98 / $6.03	Professional	TC	$3.02	$3.98	$6.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $48.98 / $75.86	Professional		$25.12	$48.98	$75.86
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $42.66 / $66.07	Professional	26	$21.88	$42.66	$66.07
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.24 / $6.31 / $9.77	Professional	TC	$3.24	$6.31	$9.77
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $51.29 / $302.00	Professional		$25.70	$51.29	$302.00
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $37.15 / $154.88	Professional	26	$21.88	$37.15	$154.88
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2.63 / $5.37 / $213.80	Professional	TC	$2.63	$5.37	$213.80
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $61.66 / $61.66	Professional		$56.23	$61.66	$61.66
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $54.95 / $54.95	Professional	26	$50.12	$54.95	$54.95
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.62 / $5.62 / $6.17	Professional	TC	$5.62	$5.62	$6.17
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $44.67 / $75.86	Professional		$33.11	$44.67	$75.86
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $33.11 / $47.86	Professional	26	$20.42	$33.11	$47.86
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.02 / $6.03 / $56.23	Professional	TC	$3.02	$6.03	$56.23
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $38.02 / $58.88	Professional		$25.12	$38.02	$58.88
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $30.20 / $50.12	Professional	26	$20.89	$30.20	$50.12
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.47 / $5.25 / $8.71	Professional	TC	$3.47	$5.25	$8.71
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $48.98 / $51.29	Professional		$38.90	$48.98	$51.29
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $41.69 / $43.65	Professional	26	$33.11	$41.69	$43.65
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.37 / $6.76 / $7.08	Professional	TC	$5.37	$6.76	$7.08

South Dakota rates for HCPCS 92542