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 $114.82 / $151.36 / $630.96	Professional		$114.82	$151.36	$630.96
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $46.77 / $81.28	Professional	26	$39.81	$46.77	$81.28
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $89.13 / $158.49	Professional	TC	$75.86	$89.13	$158.49
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $257.04 / $323.59	Professional		$245.47	$257.04	$323.59
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $93.33 / $114.82	Professional	26	$91.20	$93.33	$114.82
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $158.49 / $162.18 / $204.17	Professional	TC	$158.49	$162.18	$204.17
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $186.21 / $954.99	Professional		$112.20	$186.21	$954.99
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $61.66 / $389.05	Professional	26	$39.81	$61.66	$389.05
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $125.89 / $776.25	Professional	TC	$72.44	$125.89	$776.25
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $263.03 / $295.12	Professional		$245.47	$263.03	$295.12
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $95.50 / $109.65	Professional	26	$91.20	$95.50	$109.65
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $154.88 / $169.82 / $186.21	Professional	TC	$154.88	$169.82	$186.21
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $316.23	Professional		$263.03	$263.03	$316.23
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $95.50 / $102.33	Professional	26	$95.50	$95.50	$102.33
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $169.82 / $213.80	Professional	TC	$169.82	$169.82	$213.80
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $199.53 / $309.03	Professional		$138.04	$199.53	$309.03
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $72.44 / $91.20	Professional	26	$51.29	$72.44	$91.20
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $125.89 / $194.98	Professional	TC	$87.10	$125.89	$194.98
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $234.42 / $346.74	Professional		$120.23	$234.42	$346.74
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $83.18 / $120.23	Professional	26	$45.71	$83.18	$120.23
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $151.36 / $208.93	Professional	TC	$79.43	$151.36	$208.93
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $275.42 / $288.40	Professional		$234.42	$275.42	$288.40
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 $147.91 / $173.78 / $181.97	Professional	TC	$147.91	$173.78	$181.97

South Dakota rates for HCPCS 95923