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 $12.02 / $12.02 / $12.02	Facility	26	$12.02	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $56.23 / $190.55	Professional		$48.98	$56.23	$190.55
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $20.42 / $32.36	Professional	26	$11.22	$20.42	$32.36
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $43.65 / $114.82	Professional	TC	$39.81	$43.65	$114.82
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $93.33 / $93.33	Professional		$89.13	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $123.03 / $154.88	Professional		$89.13	$123.03	$154.88
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $24.55 / $30.90	Professional	26	$19.05	$24.55	$30.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $97.72 / $123.03	Professional	TC	$72.44	$97.72	$123.03
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $85.11 / $346.74	Professional		$52.48	$85.11	$346.74
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $20.42 / $74.13	Professional	26	$12.30	$20.42	$74.13
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $64.57 / $269.15	Professional	TC	$40.74	$64.57	$269.15
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $109.65 / $123.03	Professional		$102.33	$109.65	$123.03
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $25.70 / $27.54	Professional	26	$24.55	$25.70	$27.54
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $83.18 / $95.50	Professional	TC	$77.62	$83.18	$95.50
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $109.65 / $109.65	Professional		$66.07	$109.65	$109.65
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $25.70 / $25.70	Professional	26	$14.13	$25.70	$25.70
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $83.18 / $83.18	Professional	TC	$52.48	$83.18	$83.18
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $85.11 / $109.65	Professional		$63.10	$85.11	$109.65
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $19.05 / $22.39	Professional	26	$13.49	$19.05	$22.39
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $66.07 / $87.10	Professional	TC	$48.98	$66.07	$87.10
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $85.11 / $151.36	Professional		$52.48	$85.11	$151.36
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $19.95 / $34.67	Professional	26	$12.30	$19.95	$34.67
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $66.07 / $112.20	Professional	TC	$40.74	$66.07	$112.20
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $125.89 / $131.83	Professional		$107.15	$125.89	$131.83
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $25.70 / $26.92	Professional	26	$21.88	$25.70	$26.92
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $100.00 / $104.71	Professional	TC	$85.11	$100.00	$104.71

South Dakota rates for HCPCS 94726