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Complete Fetal Heart Ultrasound

Illinois rates for HCPCS 76825

This is a detailed ultrasound examination of an unborn baby's heart, performed during pregnancy to check its structure and how it is functioning. It is typically ordered when there is a higher risk of a heart problem, such as an abnormal finding on a routine prenatal ultrasound or a family history of heart defects.

Rates data updated October 2026.

How much does Complete Fetal Heart Ultrasound cost?

$275

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $661 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$269$186 to $389
FacilityA hospital or hospital-owned outpatient department$661$380 to $955

How much rates vary

Facilitymedian $661 · 10th to 90th $251 to $1,905Professionalmedian $269 · 10th to 90th $120 to $457
$50$100$200$500$1K$2K$5Kfacility $661professional $269

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$316.23
Typical High
$794.33
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$173.78
Median
$213.80
Typical High
$645.65
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$194.98
Median
$251.19
Typical High
$389.05
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$69.18
Median
$74.13
Typical High
$117.49
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$125.89
Median
$173.78
Typical High
$263.03
Ambetter
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$245.47
Typical High
$512.86
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$776.25
Typical High
$2,570.40
BCBS Illinois
Setting
Professional
Modifier
None (both parts)
Typical Low
$102.33
Median
$281.84
Typical High
$389.05
Cigna
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$501.19
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$281.84
Typical High
$416.87
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$77.62
Median
$97.72
Typical High
$125.89
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$85.11
Median
$199.53
Typical High
$288.40
Hally Health
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$371.54
Typical High
$741.31
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$81.28
Median
$120.23
Typical High
$251.19
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$158.49
Median
$251.19
Typical High
$489.78
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$302.00
Median
$309.03
Typical High
$331.13
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,479.11
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$208.93
Median
$281.84
Typical High
$489.78
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$77.62
Median
$95.50
Typical High
$154.88
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$128.82
Median
$194.98
Typical High
$346.74
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$109.65
Median
$125.89
Typical High
$125.89
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$44.67
Median
$50.12
Typical High
$50.12
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$177.83
Median
$199.53
Typical High
$199.53

Where Illinois sits

The same service costs 5.0 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 31st of 51

$275

AK $794UT $158

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.