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 26 Typical Low / Median / Typical High $39.81 / $39.81 / $61.66	Facility	26	$39.81	$39.81	$61.66
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $79.43 / $158.49	Professional		$61.66	$79.43	$158.49
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $36.31 / $91.20	Professional	26	$30.90	$36.31	$91.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $61.66 / $109.65	Professional	TC	$28.18	$61.66	$109.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $169.82 / $208.93	Professional		$134.90	$169.82	$208.93
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $77.62 / $97.72	Professional	26	$67.61	$77.62	$97.72
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $91.20 / $112.20	Professional	TC	$70.79	$91.20	$112.20
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $112.20 / $562.34	Professional		$61.66	$112.20	$562.34
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $70.79 / $234.42	Professional	26	$38.02	$70.79	$234.42
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $39.81 / $288.40	Professional	TC	$23.99	$39.81	$288.40
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $134.90 / $190.55	Professional		$39.81	$134.90	$190.55
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $85.11 / $91.20	Professional	26	$75.86	$85.11	$91.20
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $50.12 / $100.00	Professional	TC	$48.98	$50.12	$100.00
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $61.66 / $120.23	Professional		$39.81	$61.66	$120.23
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Professional	26	$79.43	$79.43	$79.43
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $21.88 / $21.88	Professional	TC	$21.88	$21.88	$21.88
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $109.65 / $151.36	Professional		$81.28	$109.65	$151.36
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $58.88 / $74.13	Professional	26	$41.69	$58.88	$74.13
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $60.26 / $79.43	Professional	TC	$32.36	$60.26	$79.43
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $117.49 / $173.78	Professional		$64.57	$117.49	$173.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $69.18 / $100.00	Professional	26	$38.90	$69.18	$100.00
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $50.12 / $89.13	Professional	TC	$25.12	$50.12	$89.13
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $162.18 / $190.55	Professional		$154.88	$162.18	$190.55
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $74.13 / $89.13	Professional	26	$72.44	$74.13	$89.13
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $85.11 / $102.33	Professional	TC	$83.18	$85.11	$102.33

South Dakota rates for HCPCS 93280