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Arkansas rates for HCPCS 76857

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

Facilitymedian $29 · 10th–90th $25$390%20%10th90th$29Professionalmedian $42 · 10th–90th $20$1050%5%10th90th$42$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
$25.70 / $28.84 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $70.79 / $151.36
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $31.62 / $57.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $26.92 / $66.07
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $39.81 / $58.88
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $18.62 / $38.02
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$10.47 / $10.47 / $20.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $54.95 / $70.79
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $29.51 / $38.02
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $25.12 / $32.36
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $36.31 / $63.10
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$5.75 / $26.92 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $79.43 / $128.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.60 / $25.70 / $47.86
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $35.48 / $100.00
Qualchoice
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $83.18 / $91.20
Qualchoice
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $40.74 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $70.79 / $117.49
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $26.92 / $47.86
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $32.36 / $87.10