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Minnesota 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 $148 · 10th–90th $46$3240%10%10th90th$148Professionalmedian $145 · 10th–90th $60$3890%5%10th90th$145$10.0$20.0$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
$45.71 / $47.86 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $199.53 / $645.65
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $77.62 / $239.88
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $89.13 / $257.04
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.88 / $40.74 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $288.40 / $416.87
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $117.49 / $169.82
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $190.55 / $251.19
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$75.86 / $169.82 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $223.87 / $354.81
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $89.13 / $138.04
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $138.04 / $213.80
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$134.90 / $165.96 / $323.59
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $323.59
Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $70.79 / $123.03
Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $107.15 / $194.98
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $331.13 / $660.69
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $117.49 / $263.03
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $147.91 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $257.04 / $933.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $114.82 / $389.05
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $158.49 / $549.54