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 $58.88 / $61.66 / $61.66	Facility	26	$58.88	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $436.52 / $851.14	Professional		$389.05	$436.52	$851.14
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $81.28 / $199.53	Professional	26	$52.48	$81.28	$199.53
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $338.84 / $380.19 / $741.31	Professional	TC	$338.84	$380.19	$741.31
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $912.01 / $912.01 / $1,148.15	Professional		$912.01	$912.01	$1,148.15
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $114.82 / $141.25	Professional	26	$114.82	$114.82	$141.25
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $794.33 / $794.33 / $1,000.00	Professional	TC	$794.33	$794.33	$1,000.00
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $562.34 / $3,890.45	Professional		$398.11	$562.34	$3,890.45
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $83.18 / $616.60	Professional	26	$51.29	$83.18	$616.60
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $316.23 / $489.78 / $3,548.13	Professional	TC	$316.23	$489.78	$3,548.13
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $851.14 / $1,047.13	Professional		$794.33	$851.14	$1,047.13
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $117.49 / $120.23 / $141.25	Professional	26	$117.49	$120.23	$141.25
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $676.08 / $724.44 / $891.25	Professional	TC	$676.08	$724.44	$891.25
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $851.14 / $851.14 / $977.24	Professional		$851.14	$851.14	$977.24
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $120.23 / $120.23 / $131.83	Professional	26	$120.23	$120.23	$131.83
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $724.44 / $724.44 / $831.76	Professional	TC	$724.44	$724.44	$831.76
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $691.83 / $933.25	Professional		$426.58	$691.83	$933.25
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $97.72 / $117.49	Professional	26	$66.07	$97.72	$117.49
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $316.23 / $602.56 / $776.25	Professional	TC	$316.23	$602.56	$776.25
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $741.31 / $1,071.52	Professional		$426.58	$741.31	$1,071.52
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $104.71 / $147.91	Professional	26	$58.88	$104.71	$147.91
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $371.54 / $645.65 / $933.25	Professional	TC	$371.54	$645.65	$933.25
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $870.96 / $1,023.29 / $1,071.52	Professional		$870.96	$1,023.29	$1,071.52
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $131.83 / $138.04	Professional	26	$112.20	$131.83	$138.04
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $758.58 / $891.25 / $933.25	Professional	TC	$758.58	$891.25	$933.25

South Dakota rates for HCPCS 95805