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California rates for HCPCS 76857

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

Facilitymedian $26 · 10th–90th $18$1480%10%10th90th$26Professionalmedian $68 · 10th–90th $22$2340%5%10th90th$68$5.0$20.0$100.0$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
$18.20 / $23.99 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $95.50 / $331.13
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $38.02 / $97.72
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $56.23 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $48.98 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $28.84 / $56.23
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $30.90 / $53.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $95.50 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $27.54 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $69.18 / $123.03
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $125.89 / $234.42
Blue Shield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $26.30 / $56.23
Blue Shield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $97.72 / $177.83
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
$42.66 / $89.13 / $162.18
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $26.30 / $53.70
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $51.29 / $120.23
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $66.07 / $89.13
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $27.54 / $37.15
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $38.02 / $51.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $63.10 / $131.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $33.11 / $57.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $42.66 / $74.13
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$389.05 / $389.05 / $416.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $32.36 / $56.23
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $93.33 / $144.54
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $24.55 / $50.12
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $51.29 / $117.49
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $74.13 / $102.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $72.44 / $151.36
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $25.12 / $87.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $38.90 / $97.72