go back

Ohio rates for HCPCS 76856

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

Facilitymedian $41 · 10th–90th $32$620%20%40%10th90th$41Professionalmedian $89 · 10th–90th $32$2240%10%10th90th$89$0.5$2.0$10.0$50.0$200.0$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 / $40.74 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $158.49 / $389.05
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $46.77 / $123.03
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $91.20 / $204.17
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $87.10 / $138.04
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $37.15 / $53.70
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $52.48 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $125.89 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $46.77 / $70.79
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $75.86 / $114.82
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $128.82 / $199.53
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $40.74 / $64.57
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $87.10 / $134.90
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $74.13 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $128.82 / $229.09
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $42.66 / $69.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $87.10 / $162.18
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $131.83 / $223.87
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $45.71 / $87.10
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $89.13 / $158.49
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $33.11 / $46.77
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $109.65 / $181.97
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $40.74 / $69.18
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $67.61 / $123.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $117.49 / $204.17
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $37.15 / $79.43
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $79.43 / $138.04