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 $87.10 / $91.20 / $91.20	Facility	26	$87.10	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $457.09 / $831.76	Professional		$389.05	$457.09	$831.76
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $177.83 / $245.47	Professional	26	$79.43	$177.83	$245.47
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $316.23 / $371.54 / $758.58	Professional	TC	$316.23	$371.54	$758.58
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $831.76 / $977.24 / $1,202.26	Professional		$831.76	$977.24	$1,202.26
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $169.82 / $177.83 / $223.87	Professional	26	$169.82	$177.83	$223.87
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $660.69 / $794.33 / $1,000.00	Professional	TC	$660.69	$794.33	$1,000.00
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $537.03 / $2,754.23	Professional		$354.81	$537.03	$2,754.23
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $123.03 / $776.25	Professional	26	$75.86	$123.03	$776.25
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $275.42 / $426.58 / $2,187.76	Professional	TC	$275.42	$426.58	$2,187.76
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $831.76 / $1,071.52	Professional		$758.58	$831.76	$1,071.52
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $169.82 / $177.83 / $208.93	Professional	26	$169.82	$177.83	$208.93
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $588.84 / $660.69 / $851.14	Professional	TC	$588.84	$660.69	$851.14
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $831.76 / $831.76 / $933.25	Professional		$831.76	$831.76	$933.25
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $177.83 / $177.83 / $194.98	Professional	26	$177.83	$177.83	$194.98
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $660.69 / $660.69 / $724.44	Professional	TC	$660.69	$660.69	$724.44
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $707.95 / $954.99	Professional		$389.05	$707.95	$954.99
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $138.04 / $177.83	Professional	26	$97.72	$138.04	$177.83
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $281.84 / $588.84 / $741.31	Professional	TC	$281.84	$588.84	$741.31
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $741.31 / $1,023.29	Professional		$295.12	$741.31	$1,023.29
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $158.49 / $229.09	Professional	26	$87.10	$158.49	$229.09
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $275.42 / $575.44 / $851.14	Professional	TC	$275.42	$575.44	$851.14
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $891.25 / $1,047.13 / $1,096.48	Professional		$891.25	$1,047.13	$1,096.48
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $165.96 / $194.98 / $204.17	Professional	26	$165.96	$194.98	$204.17
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $724.44 / $851.14 / $870.96	Professional	TC	$724.44	$851.14	$870.96

South Dakota rates for HCPCS 95813