go back

Pennsylvania 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 $200 · 10th–90th $83$3980%10%10th90th$200Professionalmedian $76 · 10th–90th $51$2820%20%10th90th$76$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
$83.18 / $199.53 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $77.62 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $263.03 / $15,135.61
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $61.66 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $109.65 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $81.28 / $128.82
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $85.11 / $128.82
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $79.43 / $125.89
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $173.78 / $288.40
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $74.13 / $89.13
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $263.03 / $616.60
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $93.33 / $616.60
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $74.13 / $151.36
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $102.33 / $138.04
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $60.26 / $87.10
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $54.95 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $70.79 / $128.82