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 $33.11 / $138.04 / $346.74	Facility		$33.11	$138.04	$346.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $33.11 / $87.10	Professional		$22.91	$33.11	$87.10
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $77.62 / $87.10 / $204.17	Professional	CQ	$77.62	$87.10	$204.17
Avera Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $45.71 / $48.98	Facility		$33.11	$45.71	$48.98
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $43.65 / $53.70	Professional		$33.11	$43.65	$53.70
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $39.81 / $40.74	Professional		$32.36	$39.81	$40.74
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $24.55 / $38.90 / $83.18	Facility		$24.55	$38.90	$83.18
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $39.81 / $125.89	Professional		$35.48	$39.81	$125.89
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $46.77 / $64.57	Professional		$43.65	$46.77	$64.57
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $47.86 / $97.72	Professional		$43.65	$47.86	$97.72
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $57.54 / $72.44	Professional		$40.74	$57.54	$72.44
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $37.15 / $91.20	Professional		$33.11	$37.15	$91.20
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $51.29 / $60.26	Professional		$46.77	$51.29	$60.26

South Dakota rates for HCPCS 97113