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Illinois rates for HCPCS 76817

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

Facilitymedian $54 · 10th–90th $32$1070%20%10th90th$54Professionalmedian $98 · 10th–90th $44$2690%5%10th90th$98$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
$31.62 / $53.70 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $158.49 / $467.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $64.57 / $173.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $74.13 / $208.93
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $89.13 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $38.02 / $51.29
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $57.54 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $95.50 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $125.89 / $190.55
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $50.12 / $74.13
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $79.43 / $120.23
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $190.55 / $537.03
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $72.44 / $239.88
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $100.00 / $331.13
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $112.20 / $120.23
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $43.65 / $46.77
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $67.61 / $72.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $144.54 / $239.88
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $57.54 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $91.20 / $165.96