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Maine rates for HCPCS 76856

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

Facilitymedian $41 · 10th–90th $37$1410%20%40%10th90th$41Professionalmedian $87 · 10th–90th $33$2290%10%10th90th$87$10.0$50.0$200.0$1.0K$5.0K

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 / $40.74 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $134.90 / $269.15
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $47.86 / $81.28
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $85.11 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $128.82 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $39.81 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $89.13 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $158.49 / $263.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $48.98 / $77.62
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $112.20 / $186.21
Community Health Options
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $138.04 / $147.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $162.18 / $302.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $48.98 / $91.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $112.20 / $208.93
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.02 / $38.90 / $4,570.88
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $134.90 / $245.47
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $41.69 / $77.62
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $93.33 / $173.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $151.36 / $295.12
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $51.29 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $102.33 / $194.98