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New Jersey rates for HCPCS 76817

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

Facilitymedian $49 · 10th–90th $30$2240%10%10th90th$49Professionalmedian $81 · 10th–90th $35$2090%5%10th90th$81$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
$29.51 / $48.98 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $141.25 / $295.12
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $56.23 / $114.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $67.61 / $208.93
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $85.11 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $33.88 / $60.26
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $79.43 / $218.78
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $42.66 / $57.54
AmeriHealth
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $77.62 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $128.82 / $218.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $46.77 / $75.86
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $77.62 / $131.83
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $125.89 / $194.98
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $46.77 / $75.86
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $79.43 / $120.23
Horizon BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $97.72 / $213.80
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $36.31 / $72.44
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $61.66 / $125.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $107.15 / $190.55
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $40.74 / $74.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $69.18 / $120.23