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Indiana 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 $49 · 10th–90th $38$680%20%10th90th$49Professionalmedian $100 · 10th–90th $41$2690%5%10th90th$100$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
$38.02 / $48.98 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $177.83 / $346.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $67.61 / $162.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $85.11 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $114.82 / $162.18
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $42.66 / $58.88
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $72.44 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $89.13 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $38.02 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $47.86 / $77.62
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $70.79 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $128.82 / $229.09
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $51.29 / $85.11
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $79.43 / $141.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $114.82 / $208.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $45.71 / $87.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $72.44 / $131.83