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Wisconsin 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 $89 · 10th–90th $46$1950%10%10th90th$89Professionalmedian $100 · 10th–90th $39$3550%5%10th90th$100$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$45.71 / $64.57 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $162.18 / $524.81
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $67.61 / $251.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $64.57 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $123.03 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $46.77 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $75.86 / $257.04
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $69.18 / $117.49
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$81.28 / $95.50 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $251.19 / $331.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $91.20 / $125.89
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $144.54 / $204.17
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $169.82 / $223.87
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $64.57 / $87.10
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $104.71 / $141.25
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $186.21 / $524.81
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $69.18 / $194.98
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $100.00 / $331.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $93.33
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $151.36 / $295.12
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $53.70 / $112.20
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $100.00 / $181.97
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $194.98 / $354.81
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $194.98 / $194.98
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $407.38 / $524.81
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $158.49 / $194.98
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $245.47 / $331.13
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $309.03 / $524.81
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $107.15 / $173.78
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $147.91 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $288.40 / $616.60
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $100.00 / $234.42
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $100.00 / $363.08