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 $57.54 / $109.65 / $165.96	Facility		$57.54	$109.65	$165.96
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $75.86 / $79.43 / $1,071.52	Facility	CQ	$75.86	$79.43	$1,071.52
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $12.88 / $33.88	Professional		$7.94	$12.88	$33.88
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $10.96 / $17.38 / $19.05	Professional	CQ	$10.96	$17.38	$19.05
Avera Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.59 / $18.20 / $18.62	Facility		$12.59	$18.20	$18.62
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $18.20 / $20.42	Professional		$12.59	$18.20	$20.42
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $15.14 / $15.49	Professional		$12.02	$15.14	$15.49
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $16.98 / $100.00	Facility		$10.00	$16.98	$100.00
Medica Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $26.92 / $26.92 / $54.95	Facility	CQ	$26.92	$26.92	$54.95
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $13.49 / $46.77	Professional		$10.72	$13.49	$46.77
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $17.78 / $22.91	Professional		$16.60	$17.78	$22.91
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $16.60 / $28.84	Professional		$13.49	$16.60	$28.84
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $20.89 / $27.54	Professional		$14.79	$20.89	$27.54
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $13.18 / $31.62	Professional		$10.72	$13.18	$31.62
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $19.50 / $22.91	Professional		$17.78	$19.50	$22.91

South Dakota rates for HCPCS 97035