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New Hampshire rates for HCPCS 76811

Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation

Facilitymedian $339 · 10th–90th $141–$3390%50%10th$339Professionalmedian $200 · 10th–90th $91–$4170%5%10th90th$200$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$338.84 / $338.84 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $223.87 / $446.68
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $154.88 / $288.40
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $128.82 / $302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $263.03 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $128.82 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $316.23 / $501.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $154.88 / $251.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $309.03 / $478.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $162.18 / $245.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $281.84 / $630.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $131.83 / $281.84
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$63.10 / $63.10 / $74.13