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North Dakota rates for HCPCS 76856

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

Facilitymedian $34 · 10th–90th $33$580%50%10th90th$34Professionalmedian $85 · 10th–90th $32$2190%5%10%10th90th$85$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.11 / $33.88 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $128.82 / $245.47
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $42.66 / $89.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $85.11 / $234.42
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $245.47 / $269.15
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $75.86 / $83.18
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $165.96 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $162.18 / $263.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $52.48 / $83.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $112.20 / $177.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $199.53 / $691.83
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $70.79 / $177.83
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $147.91 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $181.97 / $257.04
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $60.26 / $100.00
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $123.03 / $177.83