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Maryland rates for HCPCS 76831

Saline infusion sonohysterography (SIS), including color flow Doppler, when performed

Facilitymedian $30 · 10th–90th $30–$300%50%$30Professionalmedian $170 · 10th–90th $98–$4070%5%10%10th90th$170$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $177.83 / $436.52
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $114.82 / $141.25
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $125.89 / $234.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $144.54 / $199.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $40.74 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $125.89 / $263.03
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $154.88 / $181.97