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Indiana rates for HCPCS 76805

Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation

Facilitymedian $59 · 10th–90th $44$850%20%10th90th$59Professionalmedian $120 · 10th–90th $50$3090%5%10th90th$120$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
$43.65 / $58.88 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $223.87 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $81.28 / $154.88
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $107.15 / $245.47
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $147.91 / $194.98
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $46.77 / $67.61
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $100.00 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $144.54 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $64.57 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $79.43 / $134.90
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $91.20 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $173.78 / $288.40
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $61.66 / $100.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $107.15 / $186.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $147.91 / $257.04
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $52.48 / $93.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $95.50 / $165.96