go back

Hawaii 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 $54 · 10th–90th $47$630%10%20%10th90th$54Professionalmedian $105 · 10th–90th $52$2570%5%10%10th90th$105$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
$46.77 / $53.70 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $173.78 / $346.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $66.07 / $173.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $89.13 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $158.49 / $263.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $60.26 / $104.71
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $97.72 / $158.49
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $134.90 / $173.78
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $64.57 / $67.61
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $107.15 / $112.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $151.36 / $177.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $57.54 / $66.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $95.50 / $112.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $169.82 / $776.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $74.13 / $389.05
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $109.65 / $549.54
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $190.55 / $281.84
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $70.79 / $104.71
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $120.23 / $186.21