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 $44.67 / $120.23 / $213.80	Facility		$44.67	$120.23	$213.80
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $28.84 / $79.43	Professional		$16.60	$28.84	$79.43
Avera Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $39.81 / $43.65	Facility		$29.51	$39.81	$43.65
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $39.81 / $44.67	Professional		$29.51	$39.81	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $34.67 / $35.48	Professional		$28.18	$34.67	$35.48
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.44 / $39.81 / $151.36	Facility		$23.44	$39.81	$151.36
Medica Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $61.66 / $61.66 / $128.82	Facility	CO	$61.66	$61.66	$128.82
Medica Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $61.66 / $61.66 / $128.82	Facility	CQ	$61.66	$61.66	$128.82
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $35.48 / $109.65	Professional		$29.51	$35.48	$109.65
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $40.74 / $56.23	Professional		$38.90	$40.74	$56.23
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $38.90 / $79.43	Professional		$38.02	$38.90	$79.43
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $50.12 / $64.57	Professional		$36.31	$50.12	$64.57
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $34.67 / $74.13	Professional		$29.51	$34.67	$74.13
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $44.67 / $52.48	Professional		$40.74	$44.67	$52.48

South Dakota rates for HCPCS 97535