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Montana rates for HCPCS 76856

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

Facilitymedian $50 · 10th–90th $50$630%20%40%90th$50Professionalmedian $95 · 10th–90th $33$2340%5%10th90th$95$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $138.04 / $331.13
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $51.29 / $138.04
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $100.00 / $218.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $165.96 / $165.96
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$50.12 / $50.12 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $165.96 / $257.04
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $50.12 / $75.86
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $114.82 / $173.78
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $186.21 / $263.03
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$50.12 / $50.12 / $63.10
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $181.97 / $257.04
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $50.12 / $66.07
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $114.82 / $165.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $120.23 / $213.80
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $35.48 / $87.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $85.11 / $162.18