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Maryland 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 $32 · 10th–90th $27$370%20%40%10th90th$32Professionalmedian $79 · 10th–90th $32$2570%5%10th90th$79$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.92 / $32.36 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $141.25 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $58.88 / $125.89
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $66.07 / $288.40
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $81.28 / $100.00
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $32.36 / $36.31
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $57.54 / $66.07
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $100.00 / $173.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $36.31 / $64.57
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $64.57 / $112.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $100.00 / $144.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $36.31 / $54.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $64.57 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $91.20 / $194.98
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $34.67 / $79.43
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $58.88 / $114.82
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $107.15 / $125.89
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $38.90 / $46.77
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $69.18 / $81.28