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 $14.13 / $15.14 / $15.14	Facility	26	$14.13	$15.14	$15.14
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $38.90 / $57.54	Professional		$33.88	$38.90	$57.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $14.13 / $34.67	Professional	26	$12.02	$14.13	$34.67
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $25.12 / $38.02	Professional	TC	$20.89	$25.12	$38.02
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $83.18 / $104.71	Professional		$64.57	$83.18	$104.71
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $29.51 / $37.15	Professional	26	$23.44	$29.51	$37.15
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $54.95 / $67.61	Professional	TC	$40.74	$54.95	$67.61
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $63.10 / $346.74	Professional		$37.15	$63.10	$346.74
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $23.99 / $89.13	Professional	26	$14.45	$23.99	$89.13
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $38.90 / $199.53	Professional	TC	$21.88	$38.90	$199.53
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $79.43 / $89.13	Professional		$75.86	$79.43	$89.13
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $30.20 / $33.11	Professional	26	$29.51	$30.20	$33.11
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $48.98 / $54.95	Professional	TC	$45.71	$48.98	$54.95
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $79.43 / $79.43	Professional		$43.65	$79.43	$79.43
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $30.20 / $30.20	Professional	26	$15.85	$30.20	$30.20
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $48.98 / $48.98	Professional	TC	$28.18	$48.98	$48.98
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $56.23 / $75.86	Professional		$43.65	$56.23	$75.86
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $21.88 / $26.92	Professional	26	$16.22	$21.88	$26.92
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $35.48 / $48.98	Professional	TC	$27.54	$35.48	$48.98
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $63.10 / $100.00	Professional		$36.31	$63.10	$100.00
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $23.99 / $36.31	Professional	26	$13.80	$23.99	$36.31
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $37.15 / $61.66	Professional	TC	$21.88	$37.15	$61.66
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $87.10 / $91.20	Professional		$74.13	$87.10	$91.20
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $30.90 / $32.36	Professional	26	$26.30	$30.90	$32.36
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $56.23 / $57.54	Professional	TC	$46.77	$56.23	$57.54

South Dakota rates for HCPCS 94375