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Iowa 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 $83 · 10th–90th $42$2140%20%10th90th$83Professionalmedian $123 · 10th–90th $49$4270%5%10th90th$123$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
$41.69 / $44.67 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $213.80 / $630.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $93.33 / $251.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $93.33 / $354.81
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $275.42 / $346.74
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $109.65 / $138.04
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $169.82 / $208.93
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $251.19 / $436.52
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $97.72 / $213.80
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $141.25 / $346.74
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$151.36 / $213.80 / $213.80
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $213.80 / $758.58
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $64.57 / $309.03
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $91.20 / $467.74
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $275.42 / $338.84
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $107.15 / $141.25
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $158.49 / $199.53
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $275.42 / $407.38
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $109.65 / $128.82
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $162.18 / $281.84
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $100.00 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $151.36 / $346.74
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $75.86 / $128.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $91.20 / $177.83
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $245.47
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $83.18 / $97.72
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $123.03 / $144.54