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 $338.84 / $467.74 / $831.76	Professional		$338.84	$467.74	$831.76
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $83.18 / $363.08	Professional	26	$52.48	$83.18	$363.08
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $407.38 / $851.14	Professional	TC	$302.00	$407.38	$851.14
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $831.76 / $1,000.00 / $1,230.27	Professional		$831.76	$1,000.00	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $117.49 / $147.91	Professional	26	$112.20	$117.49	$147.91
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $741.31 / $870.96 / $1,096.48	Professional	TC	$741.31	$870.96	$1,096.48
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $575.44 / $2,884.03	Professional		$371.54	$575.44	$2,884.03
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $100.00 / $354.81	Professional	26	$54.95	$100.00	$354.81
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $501.19 / $2,511.89	Professional	TC	$323.59	$501.19	$2,511.89
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $812.83 / $851.14 / $1,096.48	Professional		$812.83	$851.14	$1,096.48
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $114.82 / $138.04	Professional	26	$112.20	$114.82	$138.04
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $691.83 / $741.31 / $954.99	Professional	TC	$691.83	$741.31	$954.99
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $776.25 / $776.25 / $933.25	Professional		$776.25	$776.25	$933.25
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $112.20 / $128.82	Professional	26	$112.20	$112.20	$128.82
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $660.69 / $660.69 / $812.83	Professional	TC	$660.69	$660.69	$812.83
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $676.08 / $954.99	Professional		$338.84	$676.08	$954.99
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
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $269.15 / $588.84 / $812.83	Professional	TC	$269.15	$588.84	$812.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $707.95 / $1,047.13	Professional		$223.87	$707.95	$1,047.13
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 $169.82 / $616.60 / $912.01	Professional	TC	$169.82	$616.60	$912.01
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $912.01 / $1,071.52 / $1,096.48	Professional		$912.01	$1,071.52	$1,096.48
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 $794.33 / $933.25 / $977.24	Professional	TC	$794.33	$933.25	$977.24

South Dakota rates for HCPCS 95819