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Arizona rates for HCPCS 76816

Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus

Facilitymedian $145 · 10th–90th $60$1950%20%40%10th90th$145Professionalmedian $115 · 10th–90th $46$3890%5%10th90th$115$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 / $144.54 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $190.55 / $537.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $77.62 / $223.87
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $87.10 / $288.40
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $87.10 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $31.62 / $39.81
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $51.29 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $114.82 / $162.18
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $37.15 / $63.10
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $69.18 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $125.89 / $229.09
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $47.86 / $85.11
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $77.62 / $147.91
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$95.50 / $181.97 / $181.97
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $120.23 / $707.95
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $45.71 / $257.04
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $79.43 / $446.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $117.49 / $223.87
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $44.67 / $102.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $72.44 / $154.88