go back

Minnesota rates for HCPCS 76802

Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)

Facilitymedian $195 · 10th–90th $63–$5750%5%10%10th90th$195Professionalmedian $115 · 10th–90th $56–$2240%5%10th90th$115$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
Typical Low / Median / Typical High
$63.10 / $63.10 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $72.44 / $281.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $575.44 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $151.36 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $229.09 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $114.82 / $186.21
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $213.80 / $426.58
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $151.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $123.03 / $245.47
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $120.23 / $478.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $72.44 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $95.50 / $489.78