go back

Idaho rates for HCPCS 76817

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

Facilitymedian $91 · 10th–90th $52$950%20%40%10th90th$91Professionalmedian $98 · 10th–90th $41$3020%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$52.48 / $91.20 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $169.82 / $467.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $60.26 / $151.36
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $74.13 / $208.93
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $169.82 / $208.93
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $67.61 / $75.86
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $102.33 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $141.25 / $245.47
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $56.23 / $85.11
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $87.10 / $147.91
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $338.84 / $338.84
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $181.97 / $181.97
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $154.88 / $154.88
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$52.48 / $91.20 / $95.50
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $169.82 / $263.03
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $66.07 / $112.20
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $107.15 / $158.49
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.11 / $70.79
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $186.21 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $72.44 / $75.86
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $114.82 / $120.23
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $199.53
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $33.88 / $74.13
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $57.54 / $112.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $104.71 / $208.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $41.69 / $77.62
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $69.18 / $134.90