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 $45.71 / $47.86 / $47.86	Facility	26	$45.71	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $89.13 / $151.36	Professional		$81.28	$89.13	$151.36
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $45.71 / $81.28	Professional	26	$39.81	$45.71	$81.28
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $44.67 / $81.28	Professional	TC	$39.81	$44.67	$81.28
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $186.21 / $234.42	Professional		$162.18	$186.21	$234.42
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $93.33 / $114.82	Professional	26	$89.13	$93.33	$114.82
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $93.33 / $117.49	Professional	TC	$79.43	$93.33	$117.49
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $114.82 / $562.34	Professional		$74.13	$114.82	$562.34
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $60.26 / $316.23	Professional	26	$39.81	$60.26	$316.23
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $53.70 / $316.23	Professional	TC	$34.67	$53.70	$316.23
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $169.82 / $213.80	Professional		$162.18	$169.82	$213.80
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $93.33 / $109.65	Professional	26	$89.13	$93.33	$109.65
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $81.28 / $104.71	Professional	TC	$70.79	$81.28	$104.71
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $169.82 / $190.55	Professional		$169.82	$169.82	$190.55
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $93.33 / $102.33	Professional	26	$93.33	$93.33	$102.33
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $77.62 / $89.13	Professional	TC	$77.62	$77.62	$89.13
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $141.25 / $181.97	Professional		$97.72	$141.25	$181.97
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $70.79 / $91.20	Professional	26	$50.12	$70.79	$91.20
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $69.18 / $87.10	Professional	TC	$42.66	$69.18	$87.10
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $154.88 / $213.80	Professional		$74.13	$154.88	$213.80
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $81.28 / $114.82	Professional	26	$44.67	$81.28	$114.82
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $72.44 / $100.00	Professional	TC	$34.67	$72.44	$100.00
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $204.17 / $213.80	Professional		$173.78	$204.17	$213.80
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $102.33 / $107.15	Professional	26	$87.10	$102.33	$107.15
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $102.33 / $104.71	Professional	TC	$87.10	$102.33	$104.71

South Dakota rates for HCPCS 95921