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 $26.92 / $26.92 / $42.66	Facility	26	$26.92	$26.92	$42.66
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $60.26 / $85.11	Professional		$47.86	$60.26	$85.11
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $34.67 / $69.18	Professional	26	$23.99	$34.67	$69.18
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $46.77 / $97.72	Professional	TC	$19.50	$46.77	$97.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $125.89 / $158.49	Professional		$100.00	$125.89	$158.49
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $53.70 / $66.07	Professional	26	$46.77	$53.70	$66.07
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $74.13 / $93.33	Professional	TC	$58.88	$74.13	$93.33
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $81.28 / $398.11	Professional		$46.77	$81.28	$398.11
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $47.86 / $158.49	Professional	26	$25.70	$47.86	$158.49
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $31.62 / $239.88	Professional	TC	$19.05	$31.62	$239.88
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $95.50 / $144.54	Professional		$93.33	$95.50	$144.54
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $54.95 / $61.66	Professional	26	$52.48	$54.95	$61.66
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $41.69 / $83.18	Professional	TC	$40.74	$41.69	$83.18
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $85.11 / $85.11	Professional		$44.67	$85.11	$85.11
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $53.70 / $53.70	Professional	26	$26.92	$53.70	$53.70
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $32.36 / $32.36	Professional	TC	$17.38	$32.36	$32.36
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $83.18 / $114.82	Professional		$60.26	$83.18	$114.82
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $40.74 / $50.12	Professional	26	$28.18	$40.74	$50.12
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $48.98 / $66.07	Professional	TC	$26.30	$48.98	$66.07
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $87.10 / $131.83	Professional		$47.86	$87.10	$131.83
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $47.86 / $67.61	Professional	26	$26.30	$47.86	$67.61
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $39.81 / $74.13	Professional	TC	$20.89	$39.81	$74.13
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $123.03 / $144.54	Professional		$117.49	$123.03	$144.54
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $51.29 / $60.26	Professional	26	$48.98	$51.29	$60.26
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $70.79 / $83.18	Professional	TC	$67.61	$70.79	$83.18

South Dakota rates for HCPCS 93285