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 $28.18 / $28.84 / $28.84	Facility	26	$28.18	$28.84	$28.84
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $64.57 / $263.03	Professional		$56.23	$64.57	$263.03
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $29.51 / $66.07	Professional	26	$25.12	$29.51	$66.07
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $33.88 / $50.12	Professional	TC	$26.92	$33.88	$50.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $138.04 / $169.82	Professional		$107.15	$138.04	$169.82
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $57.54 / $72.44	Professional	26	$45.71	$57.54	$72.44
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $79.43 / $97.72	Professional	TC	$57.54	$79.43	$97.72
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $95.50 / $724.44	Professional		$57.54	$95.50	$724.44
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $45.71 / $331.13	Professional	26	$27.54	$45.71	$331.13
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $50.12 / $562.34	Professional	TC	$28.18	$50.12	$562.34
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $120.23 / $134.90	Professional		$114.82	$120.23	$134.90
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $58.88 / $64.57	Professional	26	$57.54	$58.88	$64.57
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $61.66 / $72.44	Professional	TC	$57.54	$61.66	$72.44
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $120.23 / $120.23	Professional		$66.07	$120.23	$120.23
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $58.88 / $58.88	Professional	26	$30.90	$58.88	$58.88
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $61.66 / $61.66	Professional	TC	$35.48	$61.66	$61.66
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $91.20 / $123.03	Professional		$72.44	$91.20	$123.03
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $42.66 / $52.48	Professional	26	$31.62	$42.66	$52.48
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $50.12 / $70.79	Professional	TC	$38.02	$50.12	$70.79
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $95.50 / $151.36	Professional		$57.54	$95.50	$151.36
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $46.77 / $77.62	Professional	26	$27.54	$46.77	$77.62
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $48.98 / $87.10	Professional	TC	$29.51	$48.98	$87.10
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $141.25 / $147.91	Professional		$120.23	$141.25	$147.91
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $60.26 / $63.10	Professional	26	$51.29	$60.26	$63.10
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $81.28 / $83.18	Professional	TC	$69.18	$81.28	$83.18

South Dakota rates for HCPCS 94070