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 $81.28 / $85.11 / $85.11	Facility	26	$81.28	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $316.23 / $524.81	Professional		$134.90	$316.23	$524.81
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $158.49 / $295.12	Professional	26	$72.44	$158.49	$295.12
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $63.10 / $109.65	Professional	TC	$52.48	$63.10	$109.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $288.40 / $354.81	Professional		$281.84	$288.40	$354.81
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $158.49 / $165.96 / $208.93	Professional	26	$158.49	$165.96	$208.93
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $120.23 / $151.36	Professional	TC	$120.23	$120.23	$151.36
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $204.17 / $870.96	Professional		$125.89	$204.17	$870.96
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $114.82 / $501.19	Professional	26	$70.79	$114.82	$501.19
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $91.20 / $380.19	Professional	TC	$58.88	$91.20	$380.19
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $288.40 / $331.13	Professional		$269.15	$288.40	$331.13
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $147.91 / $158.49 / $194.98	Professional	26	$147.91	$158.49	$194.98
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $125.89 / $134.90	Professional	TC	$120.23	$125.89	$134.90
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $269.15 / $338.84	Professional		$269.15	$269.15	$338.84
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $147.91 / $147.91 / $181.97	Professional	26	$147.91	$147.91	$181.97
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $120.23 / $154.88	Professional	TC	$120.23	$120.23	$154.88
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $223.87 / $288.40	Professional		$154.88	$223.87	$288.40
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $131.83 / $165.96	Professional	26	$89.13	$131.83	$165.96
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $102.33 / $123.03	Professional	TC	$64.57	$102.33	$123.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $257.04 / $371.54	Professional		$128.82	$257.04	$371.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $144.54 / $204.17	Professional	26	$81.28	$144.54	$204.17
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $114.82 / $154.88	Professional	TC	$69.18	$114.82	$154.88
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $309.03 / $323.59	Professional		$263.03	$309.03	$323.59
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $154.88 / $181.97 / $190.55	Professional	26	$154.88	$181.97	$190.55
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $128.82 / $134.90	Professional	TC	$109.65	$128.82	$134.90

South Dakota rates for HCPCS 95909