go back

Montana 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 $74 · 10th–90th $74$910%20%40%90th$74Professionalmedian $151 · 10th–90th $65$3720%5%10th90th$151$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $263.03 / $588.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $97.72 / $208.93
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $114.82 / $316.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $213.80 / $213.80
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$74.13 / $74.13 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $213.80 / $323.59
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $72.44 / $109.65
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $141.25 / $204.17
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $239.88 / $316.23
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$74.13 / $74.13 / $91.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $239.88 / $323.59
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $74.13 / $97.72
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $141.25 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $151.36 / $323.59
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $51.29 / $102.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $100.00 / $199.53