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 $37.15 / $44.67 / $85.11	Professional		$37.15	$44.67	$85.11
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $12.88 / $27.54	Professional	26	$10.00	$12.88	$27.54
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $32.36 / $45.71	Professional	TC	$25.70	$32.36	$45.71
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $46.77 / $70.79	Professional		$39.81	$46.77	$70.79
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $97.72 / $120.23	Professional		$70.79	$97.72	$120.23
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 $53.70 / $72.44 / $91.20	Professional	TC	$53.70	$72.44	$91.20
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $64.57 / $275.42	Professional		$42.66	$64.57	$275.42
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $19.95 / $74.13	Professional	26	$12.30	$19.95	$74.13
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $45.71 / $204.17	Professional	TC	$30.20	$45.71	$204.17
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $85.11 / $95.50	Professional		$83.18	$85.11	$95.50
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $25.12 / $27.54	Professional	26	$24.55	$25.12	$27.54
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $60.26 / $69.18	Professional	TC	$57.54	$60.26	$69.18
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $85.11 / $85.11	Professional		$52.48	$85.11	$85.11
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $25.12 / $25.12	Professional	26	$14.13	$25.12	$25.12
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $60.26 / $60.26	Professional	TC	$38.02	$60.26	$60.26
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $67.61 / $87.10	Professional		$50.12	$67.61	$87.10
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 $36.31 / $48.98 / $64.57	Professional	TC	$36.31	$48.98	$64.57
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $67.61 / $107.15	Professional		$42.66	$67.61	$107.15
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $19.95 / $33.11	Professional	26	$12.30	$19.95	$33.11
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $48.98 / $81.28	Professional	TC	$30.20	$48.98	$81.28
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $100.00 / $104.71	Professional		$85.11	$100.00	$104.71
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 $63.10 / $74.13 / $77.62	Professional	TC	$63.10	$74.13	$77.62

South Dakota rates for HCPCS 94727