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Limited Pregnancy Ultrasound

Utah 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?

$72.44

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $200 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$72.44$52.48 to $93.33
FacilityA hospital or hospital-owned outpatient department$200$100 to $275

How much rates vary

Facilitymedian $200 · 10th to 90th $100 to $447Professionalmedian $72 · 10th to 90th $34 to $115
$50$100$200$500$1Kfacility $200professional $72

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
$100.00
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$83.18
Median
$100.00
Typical High
$162.18
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$34.67
Typical High
$52.48
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$53.70
Median
$64.57
Typical High
$100.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$190.55
Typical High
$891.25
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$89.13
Median
$89.13
Typical High
$138.04
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$33.88
Typical High
$54.95
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$54.95
Median
$54.95
Typical High
$85.11
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.88
Median
$66.07
Typical High
$97.72
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$229.09
Typical High
$457.09
Regence BlueShield
Setting
Professional
Modifier
None (both parts)
Typical Low
$114.82
Median
$120.23
Typical High
$141.25
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$45.71
Typical High
$57.54
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$70.79
Median
$75.86
Typical High
$93.33
Select Health
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Select Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$83.18
Median
$112.20
Typical High
$131.83
Select Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$43.65
Typical High
$51.29
Select Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$69.18
Typical High
$81.28
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$69.18
Typical High
$144.54
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$81.28
Median
$89.13
Typical High
$144.54
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$33.11
Typical High
$51.29
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$52.48
Typical High
$87.10
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
$41.69
Median
$50.12
Typical High
$83.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.60
Median
$19.95
Typical High
$33.11
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$66.07
Median
$79.43
Typical High
$131.83

Where Utah 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.

Utah· 49th of 51

$72.44

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.