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Ohio 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 $51 · 10th–90th $39$760%20%10th90th$51Professionalmedian $100 · 10th–90th $42$2630%10%10th90th$100$0.5$2.0$10.0$50.0$200.0$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
$38.90 / $51.29 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $177.83 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $70.79 / $181.97
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $85.11 / $204.17
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $83.18 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $38.90 / $56.23
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $69.18 / $77.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $104.71 / $165.96
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $46.77 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $57.54 / $93.33
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $134.90 / $190.55
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $51.29 / $72.44
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $83.18 / $117.49
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $72.44 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $131.83 / $229.09
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $52.48 / $85.11
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $81.28 / $144.54
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $131.83 / $208.93
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $54.95 / $91.20
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $81.28 / $141.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $39.81
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $131.83 / $239.88
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $51.29 / $93.33
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $81.28 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $114.82 / $208.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $46.77 / $87.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $72.44 / $134.90