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Idaho 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 $78 · 10th–90th $45$810%20%10th90th$78Professionalmedian $91 · 10th–90th $34$2690%5%10%10th90th$91$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
$44.67 / $75.86 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $162.18 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $54.95 / $131.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $69.18 / $186.21
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $147.91 / $186.21
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $58.88 / $69.18
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $89.13 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $123.03 / $213.80
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $48.98 / $72.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $77.62 / $128.82
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $269.15 / $269.15
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $208.93 / $208.93
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $60.26 / $104.71
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$44.67 / $77.62 / $97.72
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $154.88 / $239.88
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $54.95 / $97.72
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $91.20 / $141.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $33.11 / $85.11
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $162.18 / $173.78
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $61.66 / $66.07
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $102.33 / $107.15
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $173.78
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $29.51 / $63.10
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $51.29 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $95.50 / $186.21
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $36.31 / $67.61
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $61.66 / $123.03