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Limited Pregnancy Ultrasound

New Hampshire 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 July 2026.

Facilitymedian $43 · 10th–90th $31$1170%20%10th90th$43Professionalmedian $78 · 10th–90th $37$1700%5%10%10th90th$78$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
Setting
Facility
Modifier
26 · Professional part
Typical Low
$30.90
Median
$42.66
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$95.50
Typical High
$208.93
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$24.55
Median
$37.15
Typical High
$77.62
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$40.74
Median
$61.66
Typical High
$131.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$95.50
Typical High
$218.78
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$24.55
Median
$35.48
Typical High
$102.33
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$100.00
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$123.03
Typical High
$169.82
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$45.71
Typical High
$64.57
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$77.62
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$138.04
Typical High
$245.47
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$52.48
Typical High
$87.10
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$54.95
Median
$93.33
Typical High
$151.36
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$134.90
Typical High
$218.78
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$52.48
Typical High
$81.28
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$60.26
Median
$91.20
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$120.23
Typical High
$295.12
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$46.77
Typical High
$95.50
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$57.54
Median
$74.13
Typical High
$154.88
Well Sense
Setting
Facility
Modifier
26 · Professional part
Typical Low
$21.88
Median
$26.92
Typical High
$29.51