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Limited Pregnancy Ultrasound

Oklahoma 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?

$79.43

Typical negotiated rate. In Oklahoma, October 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $204 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$79.43$57.54 to $105
FacilityA hospital or hospital-owned outpatient department$204$107 to $288

How much rates vary

Facilitymedian $204 · 10th to 90th $72 to $380Professionalmedian $79 · 10th to 90th $39 to $155
$50$100$200$500facility $204professional $79

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$107.15
Typical High
$114.82
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$61.66
Median
$63.10
Typical High
$97.72
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$24.55
Median
$25.12
Typical High
$36.31
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$37.15
Median
$38.02
Typical High
$58.88
Ambetter
Setting
Professional
Modifier
None (both parts)
Typical Low
$60.26
Median
$63.10
Typical High
$89.13
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$23.44
Typical High
$29.51
BCBS Oklahoma
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$269.15
Typical High
$380.19
BCBS Oklahoma
Setting
Professional
Modifier
None (both parts)
Typical Low
$30.90
Median
$79.43
Typical High
$107.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$123.03
Typical High
$213.80
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$69.18
Median
$69.18
Typical High
$107.15
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$27.54
Median
$27.54
Typical High
$42.66
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$41.69
Median
$41.69
Typical High
$64.57
Medica
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$107.15
Typical High
$295.12
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$77.62
Median
$109.65
Typical High
$524.81
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$194.98
Typical High
$194.98
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$46.77
Median
$331.13
Typical High
$331.13
United
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$169.82
Typical High
$269.15
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$69.18
Median
$85.11
Typical High
$128.82
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$33.11
Typical High
$50.12
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$41.69
Median
$52.48
Typical High
$77.62
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
$30.90
Median
$31.62
Typical High
$39.81
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.59
Median
$12.59
Typical High
$15.85
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$50.12
Median
$50.12
Typical High
$60.26

Where Oklahoma 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.

Oklahoma· 47th of 51

$79.43

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.