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Montana 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 $72 · 10th–90th $72$910%20%40%90th$72Professionalmedian $135 · 10th–90th $54$3390%5%10th90th$135$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $229.09 / $562.34
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $97.72 / $199.53
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $104.71 / $218.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $186.21 / $186.21
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$72.44 / $72.44 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $186.21 / $275.42
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $72.44 / $104.71
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $112.20 / $165.96
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $204.17 / $251.19
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$72.44 / $72.44 / $91.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $204.17 / $275.42
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $72.44 / $97.72
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $112.20 / $158.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $131.83 / $239.88
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $51.29 / $97.72
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $81.28 / $158.49