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Maryland rates for HCPCS 76817

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

Facilitymedian $37 · 10th–90th $31$430%20%40%10th90th$37Professionalmedian $93 · 10th–90th $39$2820%5%10th90th$93$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
$30.90 / $37.15 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $169.82 / $446.68
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $70.79 / $147.91
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $75.86 / $239.88
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $93.33 / $114.82
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $36.31 / $42.66
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $58.88 / $74.13
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $112.20 / $194.98
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $41.69 / $75.86
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $70.79 / $125.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $112.20 / $162.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $42.66 / $61.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $70.79 / $102.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $102.33 / $223.87
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $39.81 / $87.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $64.57 / $144.54
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $123.03 / $144.54
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $44.67 / $53.70
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $77.62 / $91.20