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Michigan 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 $56 · 10th–90th $56$710%50%90th$56Professionalmedian $145 · 10th–90th $56$4170%5%10th90th$145$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
$56.23 / $56.23 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $229.09 / $707.95
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $91.20 / $245.47
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $114.82 / $245.47
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $123.03 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $46.77 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $199.53 / $213.80
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $138.04 / $138.04
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $104.71 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $165.96 / $363.08
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $58.88 / $125.89
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $109.65 / $257.04
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$56.23 / $56.23 / $102.33
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $186.21 / $457.09
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $64.57 / $169.82
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $109.65 / $208.93
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $158.49 / $251.19
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $54.95 / $97.72
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $93.33 / $194.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $154.88 / $398.11
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $58.88 / $295.12
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $100.00 / $323.59