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Missouri rates for HCPCS 76814

Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; each additional gestation (List separately in addition to code for primary procedure)

Facilitymedian $129 · 10th–90th $69–$2690%10%20%10th90th$129Professionalmedian $87 · 10th–90th $63–$3980%10%10th90th$87$20.0$50.0$100.0$200.0$500.0

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
Typical Low / Median / Typical High
$72.44 / $151.36 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $87.10 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $93.33 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $67.61 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $83.18 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $87.10 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $95.50 / $186.21
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $104.71 / $186.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $95.50 / $489.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $66.07 / $125.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $87.10 / $138.04