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Wisconsin 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 $191 · 10th–90th $138–$4680%20%10th90th$191Professionalmedian $263 · 10th–90th $91–$9330%5%10th90th$263$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
$138.04 / $158.49 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $363.08 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $177.83 / $501.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $263.03 / $891.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $138.04 / $478.63
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $138.04 / $263.03
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$239.88 / $281.84 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $489.78 / $724.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $275.42 / $371.54
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $371.54 / $501.19
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$165.96 / $190.55 / $251.19
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $398.11 / $1,479.11
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $194.98 / $602.56
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $257.04
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $316.23 / $630.96
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $154.88 / $331.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $426.58 / $776.25
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$208.93 / $575.44 / $575.44
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $870.96 / $1,513.56
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $467.74 / $630.96
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $660.69 / $1,122.02
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$213.80 / $281.84 / $524.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $512.86 / $1,318.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $331.13 / $691.83