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Missouri 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 $39 · 10th–90th $28$710%20%10th90th$39Professionalmedian $78 · 10th–90th $34$2450%5%10th90th$78$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$30.20 / $38.90 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $138.04 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $54.95 / $128.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $64.57 / $251.19
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $60.26 / $67.61
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $25.12 / $50.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $95.50 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $38.02 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $54.95 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $89.13 / $131.83
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $36.31 / $52.48
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $54.95 / $79.43
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.59 / $35.48 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $102.33 / $190.55
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $39.81 / $81.28
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $64.57 / $125.89
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 / $107.15 / $524.81
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $40.74 / $194.98
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $64.57 / $331.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $93.33 / $169.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $37.15 / $89.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $57.54 / $93.33