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Limited Pregnancy Ultrasound

Maryland rates for HCPCS 76815

A quick, focused ultrasound during pregnancy used to check on a specific concern rather than perform a full evaluation, such as confirming the baby's heartbeat, position, or the amount of amniotic fluid. It is shorter and narrower in scope than a complete pregnancy ultrasound and is often used for a follow-up look between full exams. It does not replace a full anatomy scan.

Rates data updated October 2026.

How much does Limited Pregnancy Ultrasound cost?

$77.62

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $77.62 for this service. Most negotiated rates run $64.57 to $91.20.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $98 · 10th to 90th $72 to $145Professionalmedian $78 · 10th to 90th $46 to $132
$50$100$200facility $98professional $78

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$97.72
Typical High
$144.54
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$72.44
Median
$77.62
Typical High
$147.91
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$27.54
Typical High
$53.70
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$50.12
Typical High
$93.33
CareFirst
Setting
Professional
Modifier
None (both parts)
Typical Low
$32.36
Median
$81.28
Typical High
$91.20
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$29.51
Typical High
$37.15
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$52.48
Typical High
$64.57
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$64.57
Median
$72.44
Typical High
$158.49
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$26.30
Typical High
$57.54
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$40.74
Median
$46.77
Typical High
$102.33
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$102.33
Typical High
$154.88
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$37.15
Typical High
$53.70
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$54.95
Median
$66.07
Typical High
$100.00
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$69.18
Median
$83.18
Typical High
$169.82
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$29.51
Typical High
$66.07
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$41.69
Median
$53.70
Typical High
$109.65
Wellpoint
Setting
Professional
Modifier
None (both parts)
Typical Low
$70.79
Median
$70.79
Typical High
$134.90
Wellpoint
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.30
Median
$26.30
Typical High
$48.98
Wellpoint
Setting
Professional
Modifier
TC · Technical part
Typical Low
$44.67
Median
$44.67
Typical High
$87.10
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$36.31
Median
$38.90
Typical High
$38.90
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$14.45
Median
$15.49
Typical High
$15.49
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$57.54
Median
$61.66
Typical High
$61.66

Where Maryland sits

The same service costs 3.6 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maryland· 48th of 51

$77.62

AK $245TX $67.61

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.