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 $83.18 / $87.10 / $87.10	Facility	26	$83.18	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $173.78 / $323.59	Professional		$144.54	$173.78	$323.59
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $87.10 / $186.21	Professional	26	$72.44	$87.10	$186.21
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $83.18 / $128.82	Professional	TC	$60.26	$83.18	$128.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $331.13 / $416.87	Professional		$331.13	$331.13	$416.87
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $162.18 / $169.82 / $208.93	Professional	26	$162.18	$169.82	$208.93
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $165.96 / $208.93	Professional	TC	$162.18	$165.96	$208.93
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $229.09 / $1,047.13	Professional		$147.91	$229.09	$1,047.13
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $109.65 / $512.86	Professional	26	$72.44	$109.65	$512.86
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $120.23 / $549.54	Professional	TC	$77.62	$120.23	$549.54
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $331.13 / $389.05	Professional		$302.00	$331.13	$389.05
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $162.18 / $165.96 / $199.53	Professional	26	$162.18	$165.96	$199.53
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $169.82 / $190.55	Professional	TC	$147.91	$169.82	$190.55
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $295.12 / $389.05	Professional		$295.12	$295.12	$389.05
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $165.96 / $165.96 / $186.21	Professional	26	$165.96	$165.96	$186.21
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $128.82 / $204.17	Professional	TC	$128.82	$128.82	$204.17
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $251.19 / $346.74	Professional		$154.88	$251.19	$346.74
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $131.83 / $169.82	Professional	26	$91.20	$131.83	$169.82
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $128.82 / $165.96	Professional	TC	$54.95	$128.82	$165.96
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $302.00 / $436.52	Professional		$147.91	$302.00	$436.52
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $147.91 / $208.93	Professional	26	$72.44	$147.91	$208.93
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $154.88 / $213.80	Professional	TC	$72.44	$154.88	$213.80
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $363.08 / $380.19	Professional		$309.03	$363.08	$380.19
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $158.49 / $186.21 / $194.98	Professional	26	$158.49	$186.21	$194.98
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $151.36 / $177.83 / $181.97	Professional	TC	$151.36	$177.83	$181.97

South Dakota rates for HCPCS 95861