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Hawaii 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 $46 · 10th–90th $41$540%20%40%10th90th$46Professionalmedian $100 · 10th–90th $46$2450%5%10%10th90th$100$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
$40.74 / $45.71 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $165.96 / $389.05
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $57.54 / $151.36
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $74.13 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $138.04 / $245.47
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $51.29 / $93.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $87.10 / $154.88
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $138.04 / $173.78
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $56.23 / $58.88
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $104.71 / $120.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $144.54 / $169.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $50.12 / $58.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $95.50 / $112.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $134.90 / $741.31
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $66.07 / $331.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $85.11 / $537.03
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $173.78 / $263.03
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $60.26 / $91.20
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $112.20 / $169.82