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Missouri 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 $46$1100%20%10th90th$59Professionalmedian $126 · 10th–90th $52$3310%5%10th90th$126$10.0$20.0$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
$45.71 / $58.88 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $223.87 / $588.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $83.18 / $194.98
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $104.71 / $213.80
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $100.00 / $186.21
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $38.90 / $70.79
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $66.07 / $128.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $158.49 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $61.66 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $100.00 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $147.91 / $199.53
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $52.48 / $69.18
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $95.50 / $131.83
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$11.48 / $53.70 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $165.96 / $323.59
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $61.66 / $125.89
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $109.65 / $223.87
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$112.20 / $213.80 / $213.80
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $173.78 / $870.96
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $63.10 / $295.12
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $112.20 / $575.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $151.36 / $281.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $56.23 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $100.00 / $181.97