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. 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 $14.13 / $114.82 / $120.23	Facility		$14.13	$114.82	$120.23
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $91.20 / $91.20 / $114.82	Facility	CQ	$91.20	$91.20	$114.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $10.96 / $24.55	Professional		$7.08	$10.96	$24.55
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $7.24 / $11.75 / $28.84	Professional	CQ	$7.24	$11.75	$28.84
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $12.59 / $15.85	Professional		$10.47	$12.59	$15.85
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $12.30 / $12.59	Professional		$9.77	$12.30	$12.59
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.32 / $16.22 / $28.84	Facility		$8.32	$16.22	$28.84
Medica Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $22.39 / $22.39 / $48.98	Facility	CQ	$22.39	$22.39	$48.98
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $16.60 / $48.98	Professional		$11.48	$16.60	$48.98
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $14.79 / $20.89	Professional		$14.13	$14.79	$20.89
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $21.38 / $43.65	Professional		$14.13	$21.38	$43.65
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $19.50 / $28.84	Professional		$13.80	$19.50	$28.84
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $16.60 / $33.11	Professional		$10.47	$16.60	$33.11
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $16.22 / $19.05	Professional		$15.14	$16.22	$19.05

South Dakota rates for HCPCS 97016