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 $58.88 / $128.82 / $223.87	Facility		$58.88	$128.82	$223.87
Aetna Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $114.82 / $114.82 / $223.87	Facility	CO	$114.82	$114.82	$223.87
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $117.49 / $128.82 / $234.42	Facility	CQ	$117.49	$128.82	$234.42
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $39.81 / $100.00	Professional		$22.91	$39.81	$100.00
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $5.75 / $30.20 / $30.20	Professional	CO	$5.75	$30.20	$30.20
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $30.90 / $69.18 / $117.49	Professional	CQ	$30.90	$69.18	$117.49
Avera Facility/Professional Facility Modifier Typical Low / Median / Typical High $31.62 / $42.66 / $46.77	Facility		$31.62	$42.66	$46.77
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $42.66 / $51.29	Professional		$31.62	$42.66	$51.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $38.02 / $38.90	Professional		$30.20	$38.02	$38.90
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $27.54 / $51.29 / $131.83	Facility		$27.54	$51.29	$131.83
Medica Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $66.07 / $66.07 / $138.04	Facility	CO	$66.07	$66.07	$138.04
Medica Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $66.07 / $66.07 / $138.04	Facility	CQ	$66.07	$66.07	$138.04
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $46.77 / $89.13	Professional		$30.20	$46.77	$89.13
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $44.67 / $66.07	Professional		$44.67	$44.67	$66.07
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $44.67 / $79.43	Professional		$38.02	$44.67	$79.43
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $52.48 / $69.18	Professional		$38.02	$52.48	$69.18
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $38.02 / $79.43	Professional		$29.51	$38.02	$79.43
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $48.98 / $57.54	Professional		$44.67	$48.98	$57.54

South Dakota rates for HCPCS 97530