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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 July 2026.

Facilitymedian $85 · 10th–90th $35$850%50%10th$85Professionalmedian $83 · 10th–90th $35$3390%5%10th90th$83$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
Setting
Facility
Modifier
26 · Professional part
Typical Low
$34.67
Median
$85.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$138.04
Typical High
$467.74
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$66.07
Typical High
$134.90
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$43.65
Median
$64.57
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$109.65
Typical High
$165.96
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$41.69
Typical High
$66.07
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$47.86
Median
$66.07
Typical High
$104.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
26 · Professional part
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$134.90
Typical High
$177.83
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$51.29
Typical High
$74.13
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$70.79
Median
$85.11
Typical High
$104.71
Select Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Select Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$117.49
Typical High
$131.83
Select Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$45.71
Typical High
$51.29
Select Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$72.44
Typical High
$81.28
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$69.18
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$89.13
Typical High
$154.88
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$33.11
Typical High
$60.26
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$50.12
Median
$57.54
Typical High
$102.33