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 $331.13 / $407.38 / $724.44	Professional		$331.13	$407.38	$724.44
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $77.62 / $269.15	Professional	26	$52.48	$77.62	$269.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $275.42 / $371.54 / $891.25	Professional	TC	$275.42	$371.54	$891.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $707.95 / $851.14 / $1,071.52	Professional		$707.95	$851.14	$1,071.52
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $117.49 / $147.91	Professional	26	$109.65	$117.49	$147.91
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $616.60 / $724.44 / $912.01	Professional	TC	$616.60	$724.44	$912.01
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $478.63 / $2,454.71	Professional		$316.23	$478.63	$2,454.71
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $91.20 / $354.81	Professional	26	$54.95	$91.20	$354.81
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $407.38 / $2,089.30	Professional	TC	$263.03	$407.38	$2,089.30
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $741.31 / $954.99	Professional		$691.83	$741.31	$954.99
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $114.82 / $138.04	Professional	26	$109.65	$114.82	$138.04
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $575.44 / $630.96 / $812.83	Professional	TC	$575.44	$630.96	$812.83
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $691.83 / $812.83	Professional		$691.83	$691.83	$812.83
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $109.65 / $128.82	Professional	26	$109.65	$109.65	$128.82
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $575.44 / $575.44 / $691.83	Professional	TC	$575.44	$575.44	$691.83
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $602.56 / $831.76	Professional		$295.12	$602.56	$831.76
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $91.20 / $114.82	Professional	26	$61.66	$91.20	$114.82
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $501.19 / $676.08	Professional	TC	$234.42	$501.19	$676.08
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $616.60 / $912.01	Professional		$223.87	$616.60	$912.01
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $102.33 / $151.36	Professional	26	$54.95	$102.33	$151.36
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $524.81 / $776.25	Professional	TC	$263.03	$524.81	$776.25
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $776.25 / $912.01 / $954.99	Professional		$776.25	$912.01	$954.99
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
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $660.69 / $776.25 / $812.83	Professional	TC	$660.69	$776.25	$812.83

South Dakota rates for HCPCS 95816