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Wisconsin 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 $100 · 10th–90th $71$2950%10%20%10th90th$100Professionalmedian $155 · 10th–90th $58$5620%5%10th90th$155$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
$51.29 / $81.28 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $245.47 / $776.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $104.71 / $389.05
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $91.20 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $177.83 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $70.79 / $245.47
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $107.15 / $354.81
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $97.72 / $169.82
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$123.03 / $144.54 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $338.84 / $478.63
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $134.90 / $190.55
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $204.17 / $288.40
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $245.47 / $323.59
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $97.72 / $131.83
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $144.54 / $194.98
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $489.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $257.04 / $758.58
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $109.65 / $309.03
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $134.90 / $467.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $144.54
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $213.80 / $436.52
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $81.28 / $169.82
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $134.90 / $257.04
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $275.42 / $501.19
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$109.65 / $295.12 / $295.12
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $588.84 / $758.58
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $245.47 / $323.59
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $346.74 / $489.78
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $446.68 / $741.31
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $144.54 / $269.15
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $208.93 / $436.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $426.58 / $891.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $138.04 / $363.08
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $204.17 / $537.03