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 $34.67 / $36.31 / $36.31	Facility	26	$34.67	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $117.49 / $331.13	Professional		$70.79	$117.49	$331.13
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $36.31 / $77.62	Professional	26	$30.90	$36.31	$77.62
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $72.44 / $125.89	Professional	TC	$36.31	$72.44	$125.89
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $218.78 / $275.42	Professional		$181.97	$218.78	$275.42
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $72.44 / $89.13	Professional	26	$67.61	$72.44	$89.13
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $117.49 / $147.91 / $186.21	Professional	TC	$117.49	$147.91	$186.21
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $125.89 / $691.83	Professional		$81.28	$125.89	$691.83
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $46.77 / $223.87	Professional	26	$30.20	$46.77	$223.87
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $77.62 / $467.74	Professional	TC	$47.86	$77.62	$467.74
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $165.96 / $251.19	Professional		$158.49	$165.96	$251.19
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $67.61 / $85.11	Professional	26	$67.61	$67.61	$85.11
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $100.00 / $165.96	Professional	TC	$89.13	$100.00	$165.96
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $186.21	Professional		$141.25	$141.25	$186.21
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $67.61 / $77.62	Professional	26	$67.61	$67.61	$77.62
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $74.13 / $107.15	Professional	TC	$74.13	$74.13	$107.15
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $138.04 / $204.17	Professional		$75.86	$138.04	$204.17
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $54.95 / $69.18	Professional	26	$38.90	$54.95	$69.18
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $91.20 / $131.83	Professional	TC	$33.88	$91.20	$131.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $158.49 / $229.09	Professional		$64.57	$158.49	$229.09
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $63.10 / $93.33	Professional	26	$34.67	$63.10	$93.33
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $100.00 / $154.88	Professional	TC	$36.31	$100.00	$154.88
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $239.88 / $245.47	Professional		$204.17	$239.88	$245.47
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $79.43 / $83.18	Professional	26	$67.61	$79.43	$83.18
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $158.49 / $165.96	Professional	TC	$134.90	$158.49	$165.96

South Dakota rates for HCPCS 95937