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 $61.66 / $64.57 / $64.57	Facility	26	$61.66	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $416.87 / $794.33	Professional		$354.81	$416.87	$794.33
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $61.66 / $125.89	Professional	26	$54.95	$61.66	$125.89
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $363.08 / $676.08	Professional	TC	$302.00	$363.08	$676.08
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $870.96 / $870.96 / $1,071.52	Professional		$870.96	$870.96	$1,071.52
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $117.49 / $117.49 / $147.91	Professional	26	$117.49	$117.49	$147.91
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $741.31 / $741.31 / $933.25	Professional	TC	$741.31	$741.31	$933.25
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $616.60 / $2,884.03	Professional		$398.11	$616.60	$2,884.03
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $81.28 / $870.96	Professional	26	$53.70	$81.28	$870.96
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $331.13 / $524.81 / $2,511.89	Professional	TC	$331.13	$524.81	$2,511.89
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $812.83 / $831.76 / $977.24	Professional		$812.83	$831.76	$977.24
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $125.89 / $147.91	Professional	26	$123.03	$125.89	$147.91
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $691.83 / $707.95 / $831.76	Professional	TC	$691.83	$707.95	$831.76
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $831.76 / $831.76 / $1,047.13	Professional		$831.76	$831.76	$1,047.13
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $125.89 / $125.89 / $141.25	Professional	26	$125.89	$125.89	$141.25
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $707.95 / $707.95 / $912.01	Professional	TC	$707.95	$707.95	$912.01
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $676.08 / $870.96	Professional		$467.74	$676.08	$870.96
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $97.72 / $128.82	Professional	26	$67.61	$97.72	$128.82
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $398.11 / $588.84 / $741.31	Professional	TC	$398.11	$588.84	$741.31
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $794.33 / $1,174.90	Professional		$467.74	$794.33	$1,174.90
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $109.65 / $154.88	Professional	26	$61.66	$109.65	$154.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $407.38 / $660.69 / $1,000.00	Professional	TC	$407.38	$660.69	$1,000.00
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $831.76 / $977.24 / $1,023.29	Professional		$831.76	$977.24	$1,023.29
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $134.90 / $141.25	Professional	26	$114.82	$134.90	$141.25
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $707.95 / $831.76 / $870.96	Professional	TC	$707.95	$831.76	$870.96

South Dakota rates for HCPCS 95807