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Missouri rates for HCPCS 76856

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

Facilitymedian $42 · 10th–90th $32$760%20%10th90th$42Professionalmedian $89 · 10th–90th $32$2400%5%10th90th$89$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
$31.62 / $41.69 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $151.36 / $501.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $47.86 / $131.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $93.33 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $81.28 / $112.20
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $26.30 / $47.86
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $52.48 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $123.03 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $41.69 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $83.18 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $117.49 / $169.82
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $38.02 / $54.95
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $79.43 / $117.49
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.94 / $37.15 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $128.82 / $251.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $41.69 / $85.11
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $87.10 / $177.83
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
$95.50 / $138.04 / $691.83
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $44.67 / $257.04
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $93.33 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $120.23 / $223.87
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $38.90 / $89.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $85.11 / $151.36