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Alaska rates for HCPCS 76817

Ultrasound, pregnant uterus, real time with image documentation, transvaginal

Facilitymedian $123 · 10th–90th $115$1550%20%40%10th90th$123Professionalmedian $98 · 10th–90th $37$2630%5%10th90th$98$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$114.82 / $131.83 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $138.04 / $363.08
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $69.18 / $134.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $74.13 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $154.88 / $295.12
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $60.26 / $123.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $95.50 / $177.83
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$114.82 / $123.03 / $154.88
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $251.19 / $407.38
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $107.15 / $177.83
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $154.88 / $229.09
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $398.11 / $602.56
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $151.36 / $213.80
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $239.88 / $338.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $177.83 / $288.40
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $51.29 / $131.83
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $77.62 / $177.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $239.88 / $501.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $104.71 / $223.87
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $147.91 / $281.84