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Nebraska rates for HCPCS 76817

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

Facilitymedian $78 · 10th–90th $43$2880%10%20%10th90th$78Professionalmedian $98 · 10th–90th $45$2820%5%10%10th90th$98$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
$42.66 / $77.62 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $186.21 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $77.62 / $138.04
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $91.20 / $208.93
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $151.36 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $70.79 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $42.66 / $109.65
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $169.82 / $181.97
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $67.61 / $70.79
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $104.71 / $125.89
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $199.53 / $275.42
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $79.43 / $104.71
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $120.23 / $169.82
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$83.18 / $162.18 / $162.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $169.82 / $263.03
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $69.18 / $102.33
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $102.33 / $371.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $199.53 / $309.03
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $79.43 / $120.23
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $120.23 / $190.55
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $177.83 / $234.42
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $75.86 / $91.20
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $107.15 / $144.54
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $79.43 / $181.97
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $144.54 / $223.87
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $58.88 / $91.20
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $89.13 / $138.04