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South Dakota rates for HCPCS 76817

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

Facilitymedian $36 · 10th–90th $36$360%50%100%$36Professionalmedian $87 · 10th–90th $40$2090%5%10%10th90th$87$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $181.97 / $257.04
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $67.61 / $97.72
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $87.10 / $457.09
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $134.90 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $218.78 / $275.42
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $83.18 / $104.71
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $138.04 / $169.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $181.97 / $602.56
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $74.13 / $234.42
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $120.23 / $371.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $213.80 / $213.80
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $87.10 / $87.10
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $128.82 / $128.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $151.36 / $177.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $58.88 / $69.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $93.33 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $147.91 / $213.80
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $58.88 / $81.28
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $91.20 / $134.90
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $190.55 / $190.55
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $74.13 / $74.13
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $117.49 / $117.49