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Utah 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 $158 · 10th–90th $34$2140%20%10th90th$158Professionalmedian $83 · 10th–90th $34$2820%5%10th90th$83$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
$33.88 / $158.49 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $131.83 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $57.54 / $134.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $64.57 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $112.20 / $169.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $41.69 / $66.07
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $67.61 / $104.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $72.44
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $134.90 / $177.83
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $56.23 / $67.61
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $89.13 / $112.20
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $125.89 / $177.83
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $48.98 / $72.44
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $75.86 / $104.71
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $69.18 / $131.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $87.10 / $144.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $33.11 / $56.23
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $54.95 / $102.33