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 $7.94 / $7.94 / $7.94	Facility	26	$7.94	$7.94	$7.94
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $57.54 / $125.89	Professional		$26.92	$57.54	$125.89
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Professional	25	$93.33	$93.33	$93.33
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $10.00 / $30.90	Professional	26	$7.41	$10.00	$30.90
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $28.18 / $107.15	Professional	TC	$16.98	$28.18	$107.15
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $39.81 / $44.67	Professional		$23.99	$39.81	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $58.88 / $72.44	Professional		$45.71	$58.88	$72.44
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $16.60 / $20.89	Professional	26	$12.88	$16.60	$20.89
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $41.69 / $52.48	Professional	TC	$33.11	$41.69	$52.48
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $57.54 / $398.11	Professional		$32.36	$57.54	$398.11
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $13.80 / $131.83	Professional	26	$8.32	$13.80	$131.83
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $43.65 / $134.90	Professional	TC	$24.55	$43.65	$134.90
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $66.07 / $67.61	Professional		$66.07	$66.07	$67.61
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $17.38 / $18.62	Professional	26	$16.60	$17.38	$18.62
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $50.12 / $50.12	Professional	TC	$47.86	$50.12	$50.12
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $72.44 / $72.44	Professional		$40.74	$72.44	$72.44
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $17.38 / $17.38	Professional	26	$8.71	$17.38	$17.38
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $54.95 / $54.95	Professional	TC	$31.62	$54.95	$54.95
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $43.65 / $60.26	Professional		$31.62	$43.65	$60.26
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $12.59 / $15.49	Professional	26	$9.33	$12.59	$15.49
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $33.11 / $44.67	Professional	TC	$21.88	$33.11	$44.67
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $54.95 / $75.86	Professional		$31.62	$54.95	$75.86
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $13.80 / $22.91	Professional	26	$8.32	$13.80	$22.91
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $39.81 / $57.54	Professional	TC	$23.44	$39.81	$57.54
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $60.26 / $63.10	Professional		$51.29	$60.26	$63.10
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $17.78 / $18.62	Professional	26	$15.14	$17.78	$18.62
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $42.66 / $44.67	Professional	TC	$36.31	$42.66	$44.67

South Dakota rates for HCPCS 94010