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Ohio 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 $46$870%20%10th90th$58Professionalmedian $110 · 10th–90th $49$2630%10%10th90th$110$1.0$5.0$20.0$100.0$500.0

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 / $57.54 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $199.53 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $77.62 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $85.11 / $194.98
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $95.50 / $165.96
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $47.86 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $41.69 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $158.49 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $64.57 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $87.10 / $138.04
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $154.88 / $199.53
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $64.57 / $83.18
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $91.20 / $117.49
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $74.13 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $147.91 / $251.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $61.66 / $100.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $89.13 / $154.88
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $144.54 / $239.88
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $64.57 / $107.15
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $89.13 / $147.91
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $50.12
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $147.91 / $257.04
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $60.26 / $104.71
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $87.10 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $131.83 / $234.42
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $54.95 / $100.00
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $79.43 / $134.90