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Arizona rates for HCPCS 76801

Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation

Facilitymedian $166 · 10th–90th $93$2240%10%20%10th90th$166Professionalmedian $129 · 10th–90th $51$3800%5%10th90th$129$50.0$100.0$200.0$500.0$1.0K

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
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$93.33 / $165.96 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $213.80 / $616.60
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $91.20 / $213.80
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $93.33 / $323.59
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $95.50 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $38.90 / $47.86
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $53.70 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $123.03 / $173.78
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $41.69 / $74.13
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $70.79 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $147.91 / $245.47
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $54.95 / $97.72
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $89.13 / $151.36
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$112.20 / $213.80 / $213.80
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $141.25 / $758.58
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $52.48 / $309.03
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $87.10 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $131.83 / $251.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $51.29 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $83.18 / $162.18