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Wisconsin 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 $100 · 10th–90th $52$2140%20%10th90th$100Professionalmedian $174 · 10th–90th $65$5750%5%10th90th$174$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 / $100.00 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $281.84 / $812.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $102.33 / $371.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $114.82 / $275.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $204.17 / $645.65
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $72.44 / $245.47
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $131.83 / $436.52
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $107.15 / $194.98
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$123.03 / $144.54 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $416.87 / $549.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $138.04 / $190.55
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $257.04 / $363.08
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $281.84 / $380.19
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $97.72 / $131.83
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $181.97 / $245.47
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $436.52
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $288.40 / $870.96
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $107.15 / $295.12
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $169.82 / $575.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $144.54
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $245.47 / $478.63
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $81.28 / $173.78
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $169.82 / $302.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $316.23 / $588.84
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$109.65 / $295.12 / $295.12
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $676.08 / $870.96
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $245.47 / $295.12
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $436.52 / $575.44
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $512.86 / $851.14
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $165.96 / $269.15
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $263.03 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $323.59 / $1,023.29
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $141.25 / $363.08
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $251.19 / $660.69