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Michigan rates for HCPCS 76856

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

Facilitymedian $39 · 10th–90th $39$490%50%90th$39Professionalmedian $100 · 10th–90th $33$2950%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
$38.90 / $38.90 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $162.18 / $630.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $52.48 / $162.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $95.50 / $251.19
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $91.20 / $144.54
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $33.88 / $63.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $154.88 / $165.96
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $83.18 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $131.83 / $288.40
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $40.74 / $83.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $87.10 / $208.93
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.90 / $38.90 / $69.18
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $138.04 / $323.59
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $42.66 / $117.49
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $93.33 / $181.97
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $123.03 / $204.17
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $37.15 / $66.07
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $75.86 / $173.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $125.89 / $354.81
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $40.74 / $204.17
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $89.13 / $245.47