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 $125.89 / $131.83 / $131.83	Facility	26	$125.89	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $776.25 / $4,168.69	Professional		$588.84	$776.25	$4,168.69
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $263.03 / $478.63	Professional	26	$114.82	$263.03	$478.63
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $257.04 / $257.04 / $257.04	Professional	52	$257.04	$257.04	$257.04
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $478.63 / $588.84 / $1,047.13	Professional	TC	$478.63	$588.84	$1,047.13
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $954.99 / $1,071.52 / $1,148.15	Professional		$954.99	$1,071.52	$1,148.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,380.38 / $1,380.38 / $1,698.24	Professional		$1,380.38	$1,380.38	$1,698.24
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $245.47 / $245.47 / $309.03	Professional	26	$245.47	$245.47	$309.03
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,122.02 / $1,122.02 / $1,412.54	Professional	TC	$1,122.02	$1,122.02	$1,412.54
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $912.01 / $6,165.95	Professional		$616.60	$912.01	$6,165.95
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $186.21 / $1,071.52	Professional	26	$109.65	$186.21	$1,071.52
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $457.09 / $724.44 / $3,890.45	Professional	TC	$457.09	$724.44	$3,890.45
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,230.27 / $1,288.25 / $1,584.89	Professional		$1,230.27	$1,288.25	$1,584.89
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $251.19 / $257.04 / $302.00	Professional	26	$251.19	$257.04	$302.00
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $977.24 / $1,047.13 / $1,258.93	Professional	TC	$977.24	$1,047.13	$1,258.93
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,288.25 / $1,288.25 / $1,479.11	Professional		$1,288.25	$1,288.25	$1,479.11
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $257.04 / $257.04 / $281.84	Professional	26	$257.04	$257.04	$281.84
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,047.13 / $1,047.13 / $1,202.26	Professional	TC	$1,047.13	$1,047.13	$1,202.26
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $776.25 / $1,096.48 / $1,380.38	Professional		$776.25	$1,096.48	$1,380.38
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $141.25 / $208.93 / $251.19	Professional	26	$141.25	$208.93	$251.19
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $630.96 / $870.96 / $1,096.48	Professional	TC	$630.96	$870.96	$1,096.48
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $1,122.02 / $1,659.59	Professional		$562.34	$1,122.02	$1,659.59
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $125.89 / $229.09 / $316.23	Professional	26	$125.89	$229.09	$316.23
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $537.03 / $933.25 / $1,318.26	Professional	TC	$537.03	$933.25	$1,318.26
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,318.26 / $1,548.82 / $1,621.81	Professional		$1,318.26	$1,548.82	$1,621.81
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $239.88 / $281.84 / $295.12	Professional	26	$239.88	$281.84	$295.12
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,071.52 / $1,258.93 / $1,318.26	Professional	TC	$1,071.52	$1,258.93	$1,318.26

South Dakota rates for HCPCS 95811