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Texas rates for HCPCS 76831

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

Facilitymedian $26 · 10th–90th $23$2190%20%10th90th$26Professionalmedian $107 · 10th–90th $30$2690%10%10th90th$107$10.0$20.0$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
$22.91 / $23.99 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $125.89 / $363.08
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $109.65 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $85.11 / $112.20
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $141.25 / $204.17
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$8.32 / $38.90 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $123.03 / $239.88
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $954.99 / $954.99
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$22.91 / $25.70 / $45.71
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $138.04 / $288.40
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $33.11 / $97.72
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $275.42 / $316.23
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$8.71 / $40.74 / $58.88
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $123.03 / $239.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $125.89 / $208.93
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $117.49 / $141.25