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Wisconsin rates for HCPCS 76856

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

Facilitymedian $69 · 10th–90th $49$1660%20%10th90th$69Professionalmedian $112 · 10th–90th $35$4790%5%10th90th$112$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
$48.98 / $56.23 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $194.98 / $707.95
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $67.61 / $257.04
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $91.20 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $158.49 / $537.03
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $48.98 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $109.65 / $363.08
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $87.10 / $151.36
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$85.11 / $100.00 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $323.59 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $95.50 / $131.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $208.93 / $295.12
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $218.78 / $295.12
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $67.61 / $91.20
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $151.36 / $199.53
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$169.82 / $169.82 / $371.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $239.88 / $812.83
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $81.28 / $257.04
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $141.25 / $478.63
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $125.89
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $208.93 / $389.05
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $56.23 / $117.49
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $151.36 / $263.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $257.04 / $457.09
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $208.93 / $208.93
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $537.03 / $691.83
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $169.82 / $257.04
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $363.08 / $478.63
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $398.11 / $724.44
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $120.23 / $186.21
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $213.80 / $446.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $416.87 / $812.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $112.20 / $251.19
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $208.93 / $575.44