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Missouri rates for HCPCS 76817

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

Facilitymedian $47 · 10th–90th $35$810%10%20%10th90th$47Professionalmedian $89 · 10th–90th $39$2950%5%10th90th$89$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
$34.67 / $44.67 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $158.49 / $489.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $63.10 / $154.88
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $75.86 / $239.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $69.18 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $27.54 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $109.65 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $44.67 / $70.79
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $64.57 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $102.33 / $138.04
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $41.69 / $60.26
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $61.66 / $85.11
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$8.71 / $40.74 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $114.82 / $223.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $46.77 / $95.50
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $70.79 / $144.54
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$85.11 / $162.18 / $162.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $120.23 / $602.56
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $46.77 / $234.42
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $72.44 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $104.71 / $194.98
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $42.66 / $97.72
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $64.57 / $117.49