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Maryland 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 $49 · 10th–90th $41$560%20%10th90th$49Professionalmedian $115 · 10th–90th $47$3020%5%10th90th$115$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
$40.74 / $48.98 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $199.53 / $562.34
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $85.11 / $190.55
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $87.10 / $269.15
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $117.49 / $144.54
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $46.77 / $56.23
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $72.44 / $91.20
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $141.25 / $251.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $54.95 / $100.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $89.13 / $162.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $141.25 / $204.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $54.95 / $81.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $89.13 / $125.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $131.83 / $281.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $52.48 / $112.20
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $83.18 / $181.97
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $154.88 / $181.97
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $57.54 / $70.79
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $95.50 / $112.20