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Wisconsin rates for HCPCS 76817

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

Facilitymedian $74 · 10th–90th $54$1780%10%20%10th90th$74Professionalmedian $129 · 10th–90th $48$4680%5%10th90th$129$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
$38.90 / $61.66 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $194.98 / $575.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $79.43 / $331.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $74.13 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $138.04 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $53.70 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $85.11 / $295.12
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $79.43 / $134.90
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$95.50 / $109.65 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $269.15 / $380.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $104.71 / $144.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $165.96 / $234.42
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $190.55 / $257.04
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $74.13 / $100.00
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $117.49 / $158.49
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$162.18 / $162.18 / $691.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $213.80 / $602.56
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $93.33 / $302.00
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $109.65 / $371.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $109.65
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $169.82 / $338.84
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $61.66 / $128.82
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $109.65 / $204.17
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $218.78 / $398.11
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $229.09 / $229.09
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $467.74 / $602.56
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $186.21 / $239.88
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $281.84 / $371.54
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $93.33 / $93.33
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $354.81 / $588.84
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $109.65 / $204.17
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $181.97 / $346.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $363.08 / $707.95
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $117.49 / $275.42
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $162.18 / $436.52