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New Hampshire 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 $69 · 10th–90th $48$1780%20%10th90th$69Professionalmedian $123 · 10th–90th $56$3090%5%10%10th90th$123$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
$47.86 / $69.18 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $194.98 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $91.20 / $154.88
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $102.33 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $151.36 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $66.07 / $154.88
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $173.78 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $199.53 / $275.42
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $69.18 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $131.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $213.80 / $371.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $77.62 / $131.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $162.18 / $257.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $239.88 / $363.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $83.18 / $123.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $162.18 / $234.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $194.98 / $489.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $67.61 / $144.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $128.82 / $309.03
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.11 / $41.69 / $45.71