go back

Arizona 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 $110 · 10th–90th $47$1480%20%10th90th$110Professionalmedian $89 · 10th–90th $35$2950%5%10th90th$89$10.0$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
26
Typical Low / Median / Typical High
$46.77 / $109.65 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $147.91 / $457.09
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $58.88 / $141.25
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $70.79 / $288.40
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $60.26 / $91.20
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $23.99 / $29.51
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $85.11 / $120.23
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $30.90 / $48.98
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $50.12 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $102.33 / $169.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $36.31 / $66.07
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $64.57 / $107.15
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$72.44 / $138.04 / $138.04
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $97.72 / $524.81
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $33.88 / $194.98
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $63.10 / $331.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $91.20 / $169.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $33.88 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $57.54 / $95.50