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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $61.66 / $61.66	Facility	$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $67.61 / $87.10	Professional	$38.02	$67.61	$87.10
Avera Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $95.50 / $95.50	Facility	$95.50	$95.50	$95.50
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $104.71 / $109.65	Professional	$95.50	$104.71	$109.65
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $109.65	Facility	$85.11	$85.11	$109.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $89.13 / $109.65	Professional	$87.10	$89.13	$109.65
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $104.71 / $186.21	Facility	$67.61	$104.71	$186.21
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $75.86 / $512.86	Professional	$45.71	$75.86	$512.86
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $109.65 / $109.65	Professional	$102.33	$109.65	$109.65
Midlands Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $109.65 / $109.65	Facility	$109.65	$109.65	$109.65
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $102.33 / $204.17	Professional	$102.33	$102.33	$204.17
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $85.11 / $100.00	Professional	$75.86	$85.11	$100.00
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $75.86 / $97.72	Professional	$26.30	$75.86	$97.72
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $95.50 / $95.50	Professional	$95.50	$95.50	$95.50

South Dakota rates for HCPCS L1812