go back

South Carolina rates for HCPCS 76817

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

Facilitymedian $38 · 10th–90th $30$550%20%40%10th90th$38Professionalmedian $81 · 10th–90th $35$2570%5%10%10th90th$81$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
$30.20 / $38.02 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $147.91 / $512.86
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $58.88 / $199.53
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $61.66 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $87.10 / $165.96
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $34.67 / $69.18
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $42.66 / $74.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $120.23 / $213.80
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $75.86 / $107.15
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $56.23 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $120.23 / $199.53
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $47.86 / $74.13
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $74.13 / $120.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $97.72 / $173.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $38.02 / $70.79
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $60.26 / $107.15