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 Professional Modifier Typical Low / Median / Typical High $363.08 / $371.54 / $371.54	Professional		$363.08	$371.54	$371.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $177.83 / $177.83 / $251.19	Professional	26	$177.83	$177.83	$251.19
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $190.55 / $199.53	Professional	TC	$173.78	$190.55	$199.53
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $524.81 / $602.56	Professional		$416.87	$524.81	$602.56
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $194.98 / $239.88 / $295.12	Professional	26	$194.98	$239.88	$295.12
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $275.42 / $302.00	Professional	TC	$223.87	$275.42	$302.00
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $630.96 / $676.08 / $2,344.23	Facility		$630.96	$676.08	$2,344.23
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $602.56 / $5,754.40	Professional		$208.93	$602.56	$5,754.40
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $331.13 / $1,096.48	Professional	26	$109.65	$331.13	$1,096.48
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $549.54 / $2,238.72	Professional	TC	$97.72	$549.54	$2,238.72
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $602.56 / $602.56	Professional		$537.03	$602.56	$602.56
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $251.19 / $295.12 / $295.12	Professional	26	$251.19	$295.12	$295.12
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $281.84 / $302.00 / $302.00	Professional	TC	$281.84	$302.00	$302.00
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $707.95 / $933.25	Professional		$524.81	$707.95	$933.25
Sanford Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $251.19 / $309.03 / $331.13	Professional	26	$251.19	$309.03	$331.13
Sanford Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $281.84 / $371.54 / $562.34	Professional	TC	$281.84	$371.54	$562.34
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $218.78 / $977.24	Professional		$208.93	$218.78	$977.24
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $109.65 / $380.19	Professional	26	$102.33	$109.65	$380.19
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $114.82 / $549.54	Professional	TC	$97.72	$114.82	$549.54
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $776.25 / $812.83	Professional		$616.60	$776.25	$812.83
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $295.12 / $371.54 / $380.19	Professional	26	$295.12	$371.54	$380.19
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $331.13 / $416.87 / $426.58	Professional	TC	$331.13	$416.87	$426.58

South Dakota rates for HCPCS G0416