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New Hampshire rates for HCPCS 76817

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

Facilitymedian $54 · 10th–90th $36$1350%20%10th90th$54Professionalmedian $87 · 10th–90th $42$2090%5%10%10th90th$87$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
$36.31 / $53.70 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $151.36 / $239.88
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $70.79 / $97.72
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $67.61 / $151.36
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $109.65 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $28.18 / $117.49
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $112.20 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $138.04 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $51.29 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $83.18 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $151.36 / $257.04
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $58.88 / $97.72
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $104.71 / $169.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $165.96 / $257.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $63.10 / $93.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $102.33 / $154.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $134.90 / $331.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $51.29 / $109.65
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $85.11 / $199.53
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.12 / $31.62 / $34.67