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 Typical Low / Median / Typical High $67.61 / $74.13 / $74.13	Facility		$67.61	$74.13	$74.13
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $18.20 / $19.95 / $19.95	Facility	26	$18.20	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $89.13 / $467.74	Professional		$61.66	$89.13	$467.74
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $19.95 / $40.74	Professional	26	$16.60	$19.95	$40.74
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $53.70 / $134.90	Professional	TC	$42.66	$53.70	$134.90
Avera Facility/Professional Facility Modifier Typical Low / Median / Typical High $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $144.54 / $177.83	Professional		$131.83	$144.54	$177.83
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 $95.50 / $104.71 / $131.83	Professional	TC	$95.50	$104.71	$131.83
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $97.72 / $190.55	Facility		$61.66	$97.72	$190.55
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $158.49 / $812.83	Professional		$63.10	$158.49	$812.83
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $25.12 / $416.87	Professional	26	$16.22	$25.12	$416.87
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $134.90 / $562.34	Professional	TC	$46.77	$134.90	$562.34
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $134.90 / $162.18	Professional		$131.83	$134.90	$162.18
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $38.02 / $45.71	Professional	26	$38.02	$38.02	$45.71
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $97.72 / $117.49	Professional	TC	$93.33	$97.72	$117.49
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $295.12	Professional		$134.90	$134.90	$295.12
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $38.02 / $42.66	Professional	26	$38.02	$38.02	$42.66
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $97.72 / $251.19	Professional	TC	$97.72	$97.72	$251.19
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $128.82 / $208.93	Professional		$75.86	$128.82	$208.93
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $30.20 / $39.81	Professional	26	$20.89	$30.20	$39.81
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $93.33 / $177.83	Professional	TC	$56.23	$93.33	$177.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $141.25 / $275.42	Professional		$64.57	$141.25	$275.42
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $33.88 / $46.77	Professional	26	$18.20	$33.88	$46.77
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $107.15 / $234.42	Professional	TC	$64.57	$107.15	$234.42
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $154.88 / $162.18	Professional		$131.83	$154.88	$162.18
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 $95.50 / $112.20 / $117.49	Professional	TC	$95.50	$112.20	$117.49

South Dakota rates for HCPCS 95930