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Complete Fetal Heart Ultrasound

Kentucky 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?

$204

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $1,259 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$200$182 to $234
FacilityA hospital or hospital-owned outpatient department$1,259$257 to $2,239

How much rates vary

Facilitymedian $1,259 · 10th to 90th $191 to $2,818Professionalmedian $200 · 10th to 90th $151 to $339
$50$100$200$500$1K$2Kfacility $1,259professional $200

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
$186.21
Median
$234.42
Typical High
$371.54
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$69.18
Median
$75.86
Typical High
$141.25
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$79.43
Median
$158.49
Typical High
$316.23
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$204.17
Median
$234.42
Typical High
$363.08
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$69.18
Median
$75.86
Typical High
$114.82
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$134.90
Median
$158.49
Typical High
$234.42
Ambetter
Setting
Professional
Modifier
None (both parts)
Typical Low
$194.98
Median
$213.80
Typical High
$281.84
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$95.50
Median
$107.15
Typical High
$107.15
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$2,041.74
Typical High
$3,019.95
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$173.78
Median
$199.53
Typical High
$245.47
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$70.79
Median
$91.20
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$89.13
Median
$107.15
Typical High
$154.88
CareSource
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$173.78
Typical High
$302.00
CareSource
Setting
Professional
Modifier
None (both parts)
Typical Low
$72.44
Median
$162.18
Typical High
$257.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$19.95
Median
$93.33
Typical High
$131.83
Cigna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$42.66
Median
$199.53
Typical High
$281.84
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$186.21
Median
$288.40
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$75.86
Median
$107.15
Typical High
$398.11
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$91.20
Median
$199.53
Typical High
$891.25
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$33.11
Typical High
$53.70
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$218.78
Typical High
$354.81
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$72.44
Median
$83.18
Typical High
$117.49
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$91.20
Median
$131.83
Typical High
$234.42
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
$100.00
Median
$117.49
Typical High
$123.03
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$40.74
Median
$46.77
Typical High
$48.98
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$173.78
Median
$190.55
Typical High
$194.98

Where Kentucky 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.

Kentucky· 49th of 51

$204

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.