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New York rates for HCPCS 76817

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

Facilitymedian $42 · 10th–90th $29$980%10%20%10th90th$42Professionalmedian $91 · 10th–90th $39$2690%5%10th90th$91$10.0$50.0$200.0$1.0K$5.0K

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
$28.84 / $41.69 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $162.18 / $489.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $64.57 / $147.91
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $70.79 / $169.82
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $77.62 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $31.62 / $53.70
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $100.00 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $37.15 / $70.79
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $63.10 / $123.03
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $83.18 / $134.90
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
$83.18 / $138.04 / $346.74
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $52.48 / $123.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $83.18 / $234.42
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $120.23 / $194.98
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $53.70 / $104.71
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $79.43 / $125.89
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $120.23 / $213.80
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $47.86 / $89.13
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $72.44 / $128.82
Fidelis
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $25.70 / $51.29
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $223.87
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $43.65 / $89.13
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $66.07 / $66.07
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $131.83 / $208.93
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $51.29 / $81.28
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $79.43 / $125.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $120.23 / $338.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $46.77 / $245.47
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $79.43 / $338.84
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$29.51 / $41.69 / $123.03
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $120.23 / $269.15
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $46.77 / $107.15
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $72.44 / $162.18