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Pelvic Ultrasound, Limited

Arizona 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?

$89.13

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $89.13 for this service. Most negotiated rates run $57.54 to $155.

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 $89 · 10th to 90th $46 to $331
$50$100$200$500professional $89

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
$33.88
Median
$81.28
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$91.20
Typical High
$338.84
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$33.11
Typical High
$97.72
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$18.62
Median
$47.86
Typical High
$117.49
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$39.81
Typical High
$57.54
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$22.91
Typical High
$33.88
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$10.47
Median
$18.62
Typical High
$23.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$51.29
Typical High
$83.18
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$22.91
Typical High
$36.31
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.44
Median
$28.18
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$74.13
Typical High
$134.90
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$25.70
Typical High
$48.98
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$38.90
Typical High
$97.72
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$56.23
Median
$114.82
Typical High
$114.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$97.72
Typical High
$575.44
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.05
Median
$25.70
Typical High
$234.42
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$22.91
Median
$79.43
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$83.18
Typical High
$123.03
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.05
Median
$25.12
Typical High
$109.65
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$22.91
Median
$36.31
Typical High
$91.20

Where Arizona 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.

Arizona· 16th of 51

$89.13

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.