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South Carolina 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 $33 · 10th–90th $26–$480%20%40%10th90th$33Professionalmedian $72 · 10th–90th $30–$2190%5%10%10th90th$72$10.0$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
$26.30 / $33.11 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $128.82 / $512.86
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $54.95 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $53.70 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $77.62 / $144.54
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $31.62 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $107.15 / $165.96
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $47.86 / $74.13
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $58.88 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $109.65 / $177.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $42.66 / $63.10
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $66.07 / $107.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $87.10 / $154.88
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $33.11 / $60.26
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $53.70 / $97.72