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 $57.54 / $60.26 / $60.26	Facility	26	$57.54	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $389.05 / $1,148.15	Professional		$316.23	$389.05	$1,148.15
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $117.49 / $263.03	Professional	26	$52.48	$117.49	$263.03
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $758.58 / $954.99	Professional		$660.69	$758.58	$954.99
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $117.49 / $147.91	Professional	26	$114.82	$117.49	$147.91
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $436.52 / $2,238.72	Professional		$281.84	$436.52	$2,238.72
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $77.62 / $776.25	Professional	26	$50.12	$77.62	$776.25
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $676.08 / $851.14	Professional		$616.60	$676.08	$851.14
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $117.49 / $138.04	Professional	26	$114.82	$117.49	$138.04
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $676.08 / $741.31	Professional		$676.08	$676.08	$741.31
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $117.49 / $117.49 / $128.82	Professional	26	$117.49	$117.49	$128.82
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $562.34 / $758.58	Professional		$323.59	$562.34	$758.58
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $91.20 / $114.82	Professional	26	$64.57	$91.20	$114.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $588.84 / $831.76	Professional		$239.88	$588.84	$831.76
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $104.71 / $151.36	Professional	26	$54.95	$104.71	$151.36
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $812.83 / $851.14	Professional		$691.83	$812.83	$851.14
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $128.82 / $134.90	Professional	26	$109.65	$128.82	$134.90

South Dakota rates for HCPCS 95812