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Missouri 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 $59 · 10th–90th $46$1070%20%10th90th$59Professionalmedian $112 · 10th–90th $50$3550%5%10th90th$112$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 / $58.88 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $194.98 / $588.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $79.43 / $199.53
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $87.10 / $234.42
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $87.10 / $162.18
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $37.15 / $67.61
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $138.04 / $223.87
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $58.88 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $75.86 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $128.82 / $173.78
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $54.95 / $79.43
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $75.86 / $109.65
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$11.48 / $53.70 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $144.54 / $281.84
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $60.26 / $125.89
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $89.13 / $177.83
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$112.20 / $213.80 / $213.80
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $151.36 / $758.58
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $63.10 / $309.03
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $91.20 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $134.90 / $251.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $56.23 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $83.18 / $147.91