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Arizona rates for HCPCS 76856

Ultrasound, pelvic (nonobstetric), real time with image documentation; complete

Facilitymedian $115 · 10th–90th $37$1580%10%10th90th$115Professionalmedian $100 · 10th–90th $32$3160%5%10th90th$100$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
$37.15 / $114.82 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $173.78 / $537.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $53.70 / $154.88
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $100.00 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $85.11 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $26.92 / $40.74
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $54.95 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $109.65 / $158.49
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $32.36 / $51.29
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $72.44 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $131.83 / $223.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $39.81 / $67.61
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $91.20 / $154.88
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$77.62 / $169.82 / $169.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $125.89 / $691.83
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $38.02 / $257.04
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $91.20 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $120.23 / $234.42
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $36.31 / $89.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $89.13 / $165.96