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Limited Pregnancy Ultrasound

South Dakota 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.

Facilitymedian $31 · 10th–90th $31$310%50%$31Professionalmedian $85 · 10th–90th $42$2240%5%10th90th$85$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$151.36
Typical High
$234.42
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$58.88
Typical High
$104.71
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$50.12
Median
$91.20
Typical High
$446.68
Avera
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$120.23
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$194.98
Typical High
$239.88
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$57.54
Median
$72.44
Typical High
$91.20
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$95.50
Median
$120.23
Typical High
$151.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$154.88
Typical High
$524.81
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$64.57
Typical High
$194.98
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$52.48
Median
$104.71
Typical High
$331.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$190.55
Typical High
$190.55
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$66.07
Median
$75.86
Typical High
$75.86
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$107.15
Median
$112.20
Typical High
$112.20
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$131.83
Typical High
$154.88
Sanford Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$50.12
Typical High
$58.88
Sanford Health Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$60.26
Median
$83.18
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$128.82
Typical High
$186.21
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$50.12
Typical High
$85.11
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$56.23
Median
$79.43
Typical High
$123.03
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$169.82
Typical High
$169.82
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$54.95
Median
$64.57
Typical High
$64.57
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$89.13
Median
$104.71
Typical High
$104.71