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 $234.42 / $812.83 / $1,047.13	Facility		$234.42	$812.83	$1,047.13
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $21.88 / $21.88 / $21.88	Facility	26	$21.88	$21.88	$21.88
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $112.20 / $398.11 / $467.74	Facility	TC	$112.20	$398.11	$467.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $57.54 / $239.88	Professional		$19.95	$57.54	$239.88
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $38.02 / $97.72	Professional	26	$19.50	$38.02	$97.72
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $154.88 / $338.84	Professional	TC	$91.20	$154.88	$338.84
Avera Facility/Professional Facility Modifier Typical Low / Median / Typical High $104.71 / $123.03 / $186.21	Facility		$104.71	$123.03	$186.21
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $158.49 / $194.98	Professional		$91.20	$158.49	$194.98
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $257.04 / $323.59	Professional		$213.80	$257.04	$323.59
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $42.66 / $53.70	Professional	26	$36.31	$42.66	$53.70
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $213.80 / $269.15	Professional	TC	$177.83	$213.80	$269.15
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $223.87 / $891.25	Facility		$173.78	$223.87	$891.25
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $223.87 / $1,047.13	Professional		$114.82	$223.87	$1,047.13
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $43.65 / $239.88	Professional	26	$22.91	$43.65	$239.88
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $181.97 / $933.25	Professional	TC	$100.00	$181.97	$933.25
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $229.09 / $263.03	Professional		$229.09	$229.09	$263.03
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $43.65 / $48.98	Professional	26	$43.65	$43.65	$48.98
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $186.21 / $213.80	Professional	TC	$186.21	$186.21	$213.80
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $204.17 / $229.09	Professional		$147.91	$204.17	$229.09
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $34.67 / $39.81	Professional	26	$26.30	$34.67	$39.81
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $165.96 / $190.55	Professional	TC	$120.23	$165.96	$190.55
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $213.80 / $309.03	Professional		$131.83	$213.80	$309.03
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $37.15 / $46.77	Professional	26	$22.91	$37.15	$46.77
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $177.83 / $263.03	Professional	TC	$109.65	$177.83	$263.03
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $257.04 / $269.15	Professional		$218.78	$257.04	$269.15
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $44.67 / $46.77	Professional	26	$38.02	$44.67	$46.77
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $213.80 / $218.78	Professional	TC	$181.97	$213.80	$218.78

South Dakota rates for HCPCS 93971