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 Typical Low / Median / Typical High $363.08 / $630.96 / $794.33	Facility		$363.08	$630.96	$794.33
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $41.69 / $42.66 / $42.66	Facility	26	$41.69	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $162.18 / $309.03	Professional		$120.23	$162.18	$309.03
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $87.10 / $154.88	Professional	26	$38.02	$87.10	$154.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $138.04 / $331.13	Professional	TC	$100.00	$138.04	$331.13
Avera Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $134.90 / $204.17	Facility		$112.20	$134.90	$204.17
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $208.93 / $223.87	Professional		$138.04	$208.93	$223.87
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $288.40 / $354.81	Professional		$281.84	$288.40	$354.81
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $79.43 / $97.72	Professional	26	$77.62	$79.43	$97.72
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $204.17 / $234.42	Professional	TC	$190.55	$204.17	$234.42
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $234.42 / $436.52	Facility		$125.89	$234.42	$436.52
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $234.42 / $1,023.29	Professional		$144.54	$234.42	$1,023.29
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $67.61 / $263.03	Professional	26	$36.31	$67.61	$263.03
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $173.78 / $776.25	Professional	TC	$109.65	$173.78	$776.25
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $331.13 / $338.84	Professional		$323.59	$331.13	$338.84
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $85.11 / $97.72	Professional	26	$83.18	$85.11	$97.72
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $239.88 / $251.19	Professional	TC	$234.42	$239.88	$251.19
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $338.84 / $407.38	Professional		$338.84	$338.84	$407.38
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $85.11 / $117.49	Professional	26	$85.11	$85.11	$117.49
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $251.19 / $288.40	Professional	TC	$251.19	$251.19	$288.40
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $234.42 / $302.00	Professional		$151.36	$234.42	$302.00
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $70.79 / $89.13	Professional	26	$45.71	$70.79	$89.13
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $165.96 / $213.80	Professional	TC	$114.82	$165.96	$213.80
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $288.40 / $380.19	Professional		$177.83	$288.40	$380.19
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $70.79 / $107.15	Professional	26	$40.74	$70.79	$107.15
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $204.17 / $288.40	Professional	TC	$125.89	$204.17	$288.40
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $302.00 / $316.23	Professional		$257.04	$302.00	$316.23
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $91.20 / $93.33	Professional	26	$75.86	$91.20	$93.33
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $213.80 / $218.78	Professional	TC	$181.97	$213.80	$218.78

South Dakota rates for HCPCS 95800