go back

New Mexico 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 $91 · 10th–90th $68$3310%20%10th90th$91Professionalmedian $62 · 10th–90th $40$1450%20%10th90th$62$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Typical Low / Median / Typical High
$75.86 / $83.18 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $61.66 / $151.36
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $338.84 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $42.66 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $85.11 / $114.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $104.71
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $89.13 / $151.36
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $104.71 / $141.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $57.54 / $114.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $77.62 / $134.90