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Massachusetts rates for HCPCS 76817

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

Facilitymedian $40 · 10th–90th $28$1410%20%10th90th$40Professionalmedian $98 · 10th–90th $42$2570%5%10th90th$98$20.0$50.0$100.0$200.0$500.0

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
$28.18 / $36.31 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $186.21 / $446.68
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $74.13 / $134.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $74.13 / $213.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$39.81 / $89.13 / $229.09
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $125.89 / $602.56
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $47.86 / $239.88
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $81.28 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $190.55 / $269.15
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $67.61 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $141.25 / $269.15
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $52.48 / $100.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $91.20 / $169.82
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $81.28 / $162.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $151.36 / $251.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $56.23 / $93.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $95.50 / $151.36
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $102.33 / $204.17
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$39.81 / $89.13 / $229.09
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $125.89 / $602.56
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $47.86 / $239.88
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $81.28 / $371.54
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $81.28 / $173.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $134.90 / $288.40
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $51.29 / $107.15
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $87.10 / $173.78