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 $44.67 / $46.77 / $46.77	Facility	26	$44.67	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $107.15 / $229.09	Professional		$85.11	$107.15	$229.09
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $81.28 / $151.36	Professional	26	$41.69	$81.28	$151.36
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $10.23 / $93.33 / $109.65	Professional	52	$10.23	$93.33	$109.65
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $54.95 / $138.04	Professional	TC	$43.65	$54.95	$138.04
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $223.87 / $251.19	Professional		$199.53	$223.87	$251.19
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $89.13 / $109.65	Professional	26	$87.10	$89.13	$109.65
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $138.04 / $138.04	Professional	TC	$112.20	$138.04	$138.04
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $223.87 / $3,019.95	Professional		$102.33	$223.87	$3,019.95
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $79.43 / $870.96	Professional	26	$43.65	$79.43	$870.96
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $141.25 / $870.96	Professional	TC	$69.18	$141.25	$870.96
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $229.09 / $263.03	Professional		$229.09	$229.09	$263.03
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $97.72 / $109.65	Professional	26	$93.33	$97.72	$109.65
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $128.82 / $165.96	Professional	TC	$123.03	$128.82	$165.96
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $239.88 / $380.19	Professional		$239.88	$239.88	$380.19
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $93.33 / $138.04	Professional	26	$93.33	$93.33	$138.04
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $144.54 / $245.47	Professional	TC	$144.54	$144.54	$245.47
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $186.21 / $288.40	Professional		$112.20	$186.21	$288.40
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $83.18 / $104.71	Professional	26	$50.12	$83.18	$104.71
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $102.33 / $181.97	Professional	TC	$58.88	$102.33	$181.97
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $213.80 / $354.81	Professional		$112.20	$213.80	$354.81
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $81.28 / $128.82	Professional	26	$56.23	$81.28	$128.82
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $128.82 / $229.09	Professional	TC	$77.62	$128.82	$229.09
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $223.87 / $234.42	Professional		$190.55	$223.87	$234.42
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $102.33 / $104.71	Professional	26	$87.10	$102.33	$104.71
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $125.89 / $128.82	Professional	TC	$107.15	$125.89	$128.82

South Dakota rates for HCPCS 95806