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Pelvic Ultrasound, Limited

Alaska rates for HCPCS 76857

This is a focused ultrasound exam of the pelvic organs, used to look at a specific area of concern or to follow up on a previous finding rather than survey the entire pelvis. It's commonly used for a targeted question, such as checking a specific ovary or a known cyst.

Rates data updated July 2026.

How much does Pelvic Ultrasound, Limited cost?

$138

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $138 for this service. Most negotiated rates run $72.44 to $191.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $138 · 10th to 90th $47 to $251
$50$100$200professional $138

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$74.13
Median
$81.28
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$91.20
Typical High
$245.47
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.95
Median
$26.30
Typical High
$102.33
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.99
Median
$53.70
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$102.33
Typical High
$181.97
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.89
Median
$39.81
Typical High
$81.28
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$28.18
Median
$63.10
Typical High
$104.71
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$141.25
Typical High
$229.09
Moda Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$58.88
Median
$75.86
Typical High
$120.23
Moda Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$61.66
Median
$79.43
Typical High
$112.20
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$204.17
Typical High
$309.03
Premera BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$89.13
Median
$100.00
Typical High
$141.25
Premera BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$87.10
Median
$107.15
Typical High
$147.91
Providence
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$97.72
Typical High
$151.36
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.38
Median
$31.62
Typical High
$87.10
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.44
Median
$39.81
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$134.90
Typical High
$263.03
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.42
Median
$83.18
Typical High
$147.91
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$36.31
Median
$81.28
Typical High
$120.23

Where Alaska sits

The same service costs 3.2 times more in Wisconsin than in Oklahoma. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 2nd of 51

$138

WI $145OK $44.67

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.