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Alaska rates for HCPCS 76815

Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses

Facilitymedian $135 · 10th–90th $100$3310%20%10th90th$135Professionalmedian $85 · 10th–90th $32$2450%5%10th90th$85$10.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $134.90 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $123.03 / $316.23
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $54.95 / $112.20
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $67.61 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $134.90 / $257.04
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $52.48 / $107.15
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $87.10 / $158.49
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $134.90 / $331.13
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $223.87 / $354.81
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $91.20 / $154.88
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $134.90 / $204.17
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $346.74 / $524.81
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $128.82 / $186.21
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $213.80 / $295.12
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $151.36 / $251.19
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $44.67 / $114.82
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $69.18 / $158.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $208.93 / $446.68
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $91.20 / $194.98
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $117.49 / $245.47