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 $18.20 / $19.05 / $19.05	Facility	26	$18.20	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $138.04 / $436.52	Professional		$54.95	$138.04	$436.52
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $25.12 / $75.86	Professional	26	$16.98	$25.12	$75.86
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $28.84 / $28.84 / $28.84	Professional	50	$28.84	$28.84	$28.84
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $43.65 / $81.28	Professional	TC	$39.81	$43.65	$81.28
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $128.82 / $162.18	Professional		$117.49	$128.82	$162.18
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $38.02 / $47.86	Professional	26	$37.15	$38.02	$47.86
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $91.20 / $114.82	Professional	TC	$81.28	$91.20	$114.82
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $89.13 / $416.87	Professional		$57.54	$89.13	$416.87
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $25.12 / $114.82	Professional	26	$16.22	$25.12	$114.82
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $57.54 / $302.00	Professional	TC	$38.02	$57.54	$302.00
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $117.49 / $151.36	Professional		$114.82	$117.49	$151.36
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $37.15 / $45.71	Professional	26	$35.48	$37.15	$45.71
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $81.28 / $104.71	Professional	TC	$79.43	$81.28	$104.71
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $112.20 / $131.83	Professional		$112.20	$112.20	$131.83
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $35.48 / $42.66	Professional	26	$35.48	$35.48	$42.66
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $77.62 / $91.20	Professional	TC	$77.62	$77.62	$91.20
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $97.72 / $131.83	Professional		$69.18	$97.72	$131.83
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $30.90 / $38.90	Professional	26	$20.89	$30.90	$38.90
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $67.61 / $93.33	Professional	TC	$47.86	$67.61	$93.33
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $100.00 / $147.91	Professional		$60.26	$100.00	$147.91
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $33.88 / $47.86	Professional	26	$19.05	$33.88	$47.86
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $79.43 / $100.00	Professional	TC	$42.66	$79.43	$100.00
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $141.25 / $144.54	Professional		$120.23	$141.25	$144.54
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $42.66 / $43.65	Professional	26	$36.31	$42.66	$43.65
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $97.72 / $102.33	Professional	TC	$83.18	$97.72	$102.33

South Dakota rates for HCPCS 95885