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 $112.20 / $128.82 / $128.82	Facility	$112.20	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $125.89 / $151.36	Professional	$67.61	$125.89	$151.36
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $165.96 / $173.78	Professional	$154.88	$165.96	$173.78
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $173.78	Facility	$100.00	$100.00	$173.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $177.83 / $223.87	Professional	$177.83	$177.83	$223.87
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $158.49 / $416.87	Facility	$123.03	$158.49	$416.87
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $104.71 / $776.25	Professional	$61.66	$104.71	$776.25
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $169.82 / $169.82	Professional	$141.25	$169.82	$169.82
Midlands Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Facility	$173.78	$173.78	$173.78
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $281.84	Professional	$141.25	$141.25	$281.84
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $154.88 / $208.93	Professional	$131.83	$154.88	$208.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $104.71 / $181.97	Professional	$53.70	$104.71	$181.97
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Professional	$151.36	$151.36	$151.36

South Dakota rates for HCPCS L5685