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Illinois 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 $65 · 10th–90th $42$1410%10%20%10th90th$65Professionalmedian $120 · 10th–90th $55$3390%5%10th90th$120$50.0$100.0$200.0$500.0$1.0K$2.0K

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 / $64.57 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $199.53 / $575.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $83.18 / $204.17
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $91.20 / $234.42
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $109.65 / $194.98
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $51.29 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $69.18 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $123.03 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $158.49 / $234.42
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $66.07 / $93.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $97.72 / $147.91
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $239.88 / $660.69
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $95.50 / $263.03
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $112.20 / $407.38
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $141.25 / $151.36
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $57.54 / $61.66
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $83.18 / $91.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $186.21 / $302.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $75.86 / $162.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $109.65 / $204.17