go back

North Carolina 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.74 / $41.67 / $69.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.11 / $181.27 / $468.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.61 / $68.94 / $210.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.82 / $64.31 / $163.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.09 / $148.74 / $193.59
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.21 / $54.76 / $81.45
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.78 / $101.18 / $116.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.30 / $108.30 / $108.30
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.12 / $83.52 / $122.05
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.81 / $118.75 / $191.62
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.25 / $46.25 / $46.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.65 / $152.55 / $282.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.79 / $61.24 / $111.25
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.20 / $93.62 / $171.62
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.93 / $72.00 / $99.61
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $106.00 / $395.93
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.93 / $59.93 / $72.00
Medcost
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.68 / $245.68 / $245.68
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.17 / $95.39 / $176.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.62 / $130.75 / $281.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.96 / $51.09 / $109.68
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.41 / $80.06 / $161.36
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$95.69 / $198.74 / $198.74
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.49 / $708.49 / $902.10
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$257.68 / $257.68 / $321.00
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$450.80 / $450.80 / $581.10