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Alabama rates for HCPCS 76857

Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)

Facilitymedian $31 · 10th–90th $22$310%50%10th$31Professionalmedian $47 · 10th–90th $20$1200%5%10th90th$47$5.0$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
$22.39 / $30.90 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $79.43 / $181.97
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $37.15 / $67.61
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $30.20 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $41.69 / $63.10
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $22.39 / $30.90
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $91.20 / $107.15
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $26.92 / $31.62
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $64.57 / $75.86
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $69.18 / $151.36
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.85 / $26.92 / $60.26
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.78 / $43.65 / $107.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $54.95 / $120.23
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $23.44 / $56.23
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $25.70 / $95.50