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Indiana 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 $58 · 10th–90th $44$850%20%10th90th$58Professionalmedian $105 · 10th–90th $47$2690%5%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
$43.65 / $57.54 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $181.97 / $398.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $74.13 / $165.96
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $85.11 / $204.17
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $104.71 / $165.96
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $44.67 / $67.61
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $83.18 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $134.90 / $218.78
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $60.26 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $74.13 / $128.82
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $72.44 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $151.36 / $251.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $60.26 / $100.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $87.10 / $154.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $128.82 / $223.87
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $52.48 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $79.43 / $134.90