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North Dakota 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 $31$540%20%10th90th$32Professionalmedian $78 · 10th–90th $32$2140%5%10th90th$78$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
$30.90 / $32.36 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $123.03 / $251.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $53.70 / $85.11
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $61.66 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $186.21 / $208.93
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $70.79 / $79.43
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $114.82 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $128.82 / $204.17
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $50.12 / $77.62
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $79.43 / $123.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $162.18 / $524.81
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $64.57 / $194.98
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $95.50 / $331.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $144.54 / $194.98
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $57.54 / $100.00
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $85.11 / $131.83