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Oklahoma rates for HCPCS 76817

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

Facilitymedian $42 · 10th–90th $29$1620%20%10th90th$42Professionalmedian $74 · 10th–90th $35$1620%5%10%10th90th$74$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
$28.84 / $41.69 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $112.20 / $194.98
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $47.86 / $112.20
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $60.26 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $107.15 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $26.92 / $45.71
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $66.07 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $89.13 / $123.03
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.88 / $33.88 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $93.33 / $147.91
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $35.48 / $57.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $57.54 / $91.20
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$85.11 / $162.18 / $162.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $109.65 / $602.56
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $40.74 / $234.42
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $67.61 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $100.00 / $154.88
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $38.90 / $67.61
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $60.26 / $95.50