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 / $12.88 / $12.88	Facility	26	$12.02	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $43.65 / $91.20	Professional		$36.31	$43.65	$91.20
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $12.02 / $16.60	Professional	26	$10.96	$12.02	$16.60
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $28.84 / $39.81	Professional	TC	$25.12	$28.84	$39.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $95.50 / $120.23	Professional		$69.18	$95.50	$120.23
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $25.12 / $31.62	Professional	26	$19.95	$25.12	$31.62
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $70.79 / $87.10	Professional	TC	$51.29	$70.79	$87.10
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $63.10 / $251.19	Professional		$39.81	$63.10	$251.19
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $19.95 / $75.86	Professional	26	$12.59	$19.95	$75.86
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $43.65 / $173.78	Professional	TC	$26.92	$43.65	$173.78
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $83.18 / $93.33	Professional		$77.62	$83.18	$93.33
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $26.30 / $28.18	Professional	26	$25.12	$26.30	$28.18
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $56.23 / $64.57	Professional	TC	$52.48	$56.23	$64.57
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $83.18 / $83.18	Professional		$50.12	$83.18	$83.18
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $26.30 / $26.30	Professional	26	$14.13	$26.30	$26.30
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $56.23 / $56.23	Professional	TC	$36.31	$56.23	$56.23
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $64.57 / $85.11	Professional		$47.86	$64.57	$85.11
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $19.50 / $23.44	Professional	26	$13.80	$19.50	$23.44
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $44.67 / $63.10	Professional	TC	$33.11	$44.67	$63.10
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $66.07 / $102.33	Professional		$40.74	$66.07	$102.33
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $19.95 / $30.90	Professional	26	$12.30	$19.95	$30.90
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $45.71 / $77.62	Professional	TC	$28.18	$45.71	$77.62
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $97.72 / $102.33	Professional		$83.18	$97.72	$102.33
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $26.92 / $27.54	Professional	26	$22.91	$26.92	$27.54
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $72.44 / $74.13	Professional	TC	$61.66	$72.44	$74.13

South Dakota rates for HCPCS 94728