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Iowa rates for HCPCS 76817

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

Facilitymedian $62 · 10th–90th $32$1200%20%40%10th90th$62Professionalmedian $98 · 10th–90th $41$3630%5%10th90th$98$10.0$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
$32.36 / $33.88 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $186.21 / $512.86
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $74.13 / $199.53
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $74.13 / $316.23
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $218.78 / $275.42
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $83.18 / $104.71
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $138.04 / $169.82
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $173.78 / $346.74
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $89.13 / $169.82
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $109.65 / $208.93
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$114.82 / $162.18 / $162.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $165.96 / $602.56
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $51.29 / $234.42
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $70.79 / $371.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $213.80 / $245.47
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $87.10 / $104.71
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $128.82 / $144.54
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $213.80 / $257.04
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $83.18 / $97.72
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $131.83 / $158.49
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $75.86 / $158.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $117.49 / $257.04
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $54.95 / $102.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $74.13 / $158.49
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $190.55
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $63.10 / $74.13
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $100.00 / $117.49