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Oregon rates for HCPCS 76817

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

Facilitymedian $78 · 10th–90th $49$1000%10%20%10th90th$78Professionalmedian $107 · 10th–90th $46$3720%5%10th90th$107$10.0$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
$48.98 / $77.62 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $177.83 / $501.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $74.13 / $165.96
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $70.79 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $177.83 / $263.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $66.07 / $100.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $112.20 / $165.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $199.53 / $245.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $75.86 / $89.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $123.03 / $154.88
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$48.98 / $72.44 / $100.00
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $181.97 / $295.12
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $72.44 / $112.20
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $114.82 / $165.96
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $83.18 / $125.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $190.55 / $263.03
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $74.13 / $100.00
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $120.23 / $165.96
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $204.17 / $269.15
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $77.62 / $102.33
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $128.82 / $165.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $109.65 / $257.04
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $42.66 / $102.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $69.18 / $165.96