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Montana rates for HCPCS 76817

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

Facilitymedian $204 · 10th–90th $56$2040%50%10th$204Professionalmedian $102 · 10th–90th $48$3240%5%10th90th$102$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $181.97 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $72.44 / $151.36
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $83.18 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $144.54 / $144.54
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$56.23 / $56.23 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $138.04 / $218.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $54.95 / $83.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $87.10 / $134.90
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $162.18 / $204.17
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$56.23 / $56.23 / $69.18
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $162.18 / $218.78
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $56.23 / $74.13
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $91.20 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $102.33 / $186.21
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $38.90 / $87.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $67.61 / $128.82