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Idaho 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 $117 · 10th–90th $68$1260%20%40%10th90th$117Professionalmedian $129 · 10th–90th $51$3980%5%10%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
$67.61 / $117.49 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $234.42 / $602.56
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $75.86 / $199.53
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $91.20 / $199.53
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $213.80 / $269.15
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $89.13 / $100.00
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $125.89 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $177.83 / $302.00
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $74.13 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $107.15 / $181.97
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $295.12 / $295.12
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$229.09 / $229.09 / $239.88
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $64.57 / $64.57
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$67.61 / $117.49 / $125.89
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $223.87 / $354.81
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $85.11 / $131.83
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $125.89 / $190.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $120.23
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $234.42 / $251.19
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $95.50 / $100.00
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $141.25 / $151.36
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $251.19
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $44.67 / $97.72
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $70.79 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $138.04 / $263.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $54.95 / $102.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $85.11 / $165.96