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. Small sample — interpret with caution. 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 $22.91 / $23.99 / $23.99	Facility	26	$22.91	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $74.13 / $123.03	Professional		$61.66	$74.13	$123.03
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $21.88 / $30.90	Professional	26	$19.95	$21.88	$30.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $141.25 / $177.83	Professional		$112.20	$141.25	$177.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $44.67 / $56.23	Professional	26	$35.48	$44.67	$56.23
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $114.82 / $436.52	Professional		$72.44	$114.82	$436.52
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $37.15 / $141.25	Professional	26	$23.44	$37.15	$141.25
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $165.96 / $165.96	Professional		$158.49	$165.96	$165.96
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $53.70 / $53.70	Professional	26	$53.70	$53.70	$53.70
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $107.15 / $125.89	Professional		$72.44	$107.15	$125.89
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $34.67 / $40.74	Professional	26	$23.44	$34.67	$40.74
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $117.49 / $177.83	Professional		$74.13	$117.49	$177.83
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $37.15 / $53.70	Professional	26	$22.91	$37.15	$53.70
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $144.54 / $151.36	Professional		$123.03	$144.54	$151.36
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $46.77 / $48.98	Professional	26	$39.81	$46.77	$48.98

South Dakota rates for HCPCS 94619