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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $28.18 / $28.18 / $28.18	Facility	26	$28.18	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $66.07 / $104.71	Professional		$48.98	$66.07	$104.71
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $30.20 / $70.79	Professional	26	$26.92	$30.20	$70.79
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $53.70 / $53.70 / $53.70	Professional	52	$53.70	$53.70	$53.70
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $36.31 / $66.07	Professional	TC	$19.05	$36.31	$66.07
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $77.62 / $79.43	Professional		$75.86	$77.62	$79.43
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $48.98 / $61.66	Professional		$48.98	$48.98	$61.66
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $31.62 / $39.81	Professional	26	$31.62	$31.62	$39.81
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $18.20 / $22.39	Professional	TC	$18.20	$18.20	$22.39
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $72.44 / $138.04	Professional		$47.86	$72.44	$138.04
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $54.95 / $72.44	Professional	26	$33.11	$54.95	$72.44
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $43.65 / $63.10	Professional	TC	$28.18	$43.65	$63.10
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $87.10 / $102.33	Professional		$64.57	$87.10	$102.33
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $48.98 / $67.61	Professional	26	$41.69	$48.98	$67.61
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $36.31 / $38.02	Professional	TC	$22.91	$36.31	$38.02
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $45.71 / $45.71	Professional	26	$45.71	$45.71	$45.71
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $38.90 / $38.90	Professional	TC	$38.90	$38.90	$38.90
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $85.11 / $93.33	Professional		$63.10	$85.11	$93.33
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $50.12 / $54.95	Professional	26	$34.67	$50.12	$54.95
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $30.20 / $42.66	Professional	TC	$25.12	$30.20	$42.66
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $89.13 / $123.03	Professional		$56.23	$89.13	$123.03
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $51.29 / $75.86	Professional	26	$33.11	$51.29	$75.86
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $37.15 / $56.23	Professional	TC	$22.91	$37.15	$56.23
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $95.50 / $95.50	Professional		$81.28	$95.50	$95.50
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $61.66 / $61.66	Professional	26	$52.48	$61.66	$61.66
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $33.88 / $33.88	Professional	TC	$28.84	$33.88	$33.88

South Dakota rates for HCPCS G0279