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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $323.59 / $9,772.37	Facility	$162.18	$323.59	$9,772.37
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $162.18 / $263.03	Professional	$162.18	$162.18	$263.03
Avera Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $165.96 / $173.78	Facility	$162.18	$165.96	$173.78
Avera Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Professional	$165.96	$165.96	$165.96
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $107.15 / $107.15	Facility	$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $165.96 / $204.17	Professional	$165.96	$165.96	$204.17
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $229.09 / $371.54	Facility	$134.90	$229.09	$371.54
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $151.36 / $1,348.96	Professional	$134.90	$151.36	$1,348.96
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $177.83 / $194.98	Professional	$162.18	$177.83	$194.98
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $363.08 / $363.08	Professional	$363.08	$363.08	$363.08
Sanford Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $177.83 / $177.83	Professional	$177.83	$177.83	$177.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $177.83 / $194.98	Professional	$154.88	$177.83	$194.98
Wellmark Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $107.15 / $162.18	Facility	$107.15	$107.15	$162.18
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $162.18 / $162.18	Professional	$107.15	$162.18	$162.18

South Dakota rates for HCPCS Q5111