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 $123.03 / $128.82 / $128.82	Facility	26	$123.03	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $691.83 / $1,258.93	Professional		$562.34	$691.83	$1,258.93
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $251.19 / $478.63	Professional	26	$112.20	$251.19	$478.63
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Professional	52	$245.47	$245.47	$245.47
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $457.09 / $562.34 / $1,000.00	Professional	TC	$457.09	$562.34	$1,000.00
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $912.01 / $1,023.29 / $1,096.48	Professional		$912.01	$1,023.29	$1,096.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,318.26 / $1,318.26 / $1,621.81	Professional		$1,318.26	$1,318.26	$1,621.81
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $234.42 / $239.88 / $295.12	Professional	26	$234.42	$239.88	$295.12
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,071.52 / $1,071.52 / $1,348.96	Professional	TC	$1,071.52	$1,071.52	$1,348.96
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $851.14 / $6,165.95	Professional		$588.84	$851.14	$6,165.95
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $169.82 / $2,570.40	Professional	26	$104.71	$169.82	$2,570.40
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $426.58 / $676.08 / $7,079.46	Professional	TC	$426.58	$676.08	$7,079.46
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $1,230.27 / $1,513.56	Professional		$1,148.15	$1,230.27	$1,513.56
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $239.88 / $251.19 / $295.12	Professional	26	$239.88	$251.19	$295.12
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $912.01 / $1,000.00 / $1,202.26	Professional	TC	$912.01	$1,000.00	$1,202.26
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,230.27 / $1,230.27 / $1,412.54	Professional		$1,230.27	$1,230.27	$1,412.54
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $251.19 / $251.19 / $275.42	Professional	26	$251.19	$251.19	$275.42
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $1,148.15	Professional	TC	$1,000.00	$1,000.00	$1,148.15
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $1,023.29 / $1,318.26	Professional		$741.31	$1,023.29	$1,318.26
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $134.90 / $204.17 / $245.47	Professional	26	$134.90	$204.17	$245.47
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $602.56 / $831.76 / $1,047.13	Professional	TC	$602.56	$831.76	$1,047.13
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $1,096.48 / $1,584.89	Professional		$630.96	$1,096.48	$1,584.89
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $218.78 / $302.00	Professional	26	$104.71	$218.78	$302.00
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $501.19 / $891.25 / $1,258.93	Professional	TC	$501.19	$891.25	$1,258.93
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,258.93 / $1,479.11 / $1,548.82	Professional		$1,258.93	$1,479.11	$1,548.82
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $229.09 / $275.42 / $281.84	Professional	26	$229.09	$275.42	$281.84
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,023.29 / $1,202.26 / $1,258.93	Professional	TC	$1,023.29	$1,202.26	$1,258.93

South Dakota rates for HCPCS 95810