go back

Texas rates for HCPCS 76817

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

Facilitymedian $30 · 10th–90th $23$2290%20%10th90th$30Professionalmedian $76 · 10th–90th $32$2190%5%10%10th90th$76$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
$22.91 / $28.84 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $138.04 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $51.29 / $138.04
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $57.54 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $93.33 / $134.90
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $35.48 / $69.18
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $47.86 / $56.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $67.61 / $93.33
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $120.23 / $177.83
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $70.79 / $70.79
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
$75.86 / $102.33 / $194.98
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $38.90 / $75.86
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $63.10 / $125.89
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $602.56 / $758.58
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$239.88 / $281.84 / $281.84
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$371.54 / $478.63 / $478.63
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.12 / $30.20 / $46.77
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $117.49 / $257.04
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $44.67 / $93.33
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $67.61 / $134.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $33.11 / $81.28
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $93.33 / $208.93
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$8.91 / $41.69 / $60.26
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $100.00 / $194.98
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $37.15 / $69.18
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $60.26 / $114.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $104.71 / $186.21
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $39.81 / $85.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $67.61 / $112.20
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $93.33 / $112.20
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $36.31 / $43.65
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $57.54 / $67.61