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Connecticut rates for HCPCS 76857

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

Facilitymedian $93 · 10th–90th $30$1100%20%10th90th$93Professionalmedian $49 · 10th–90th $20$1580%5%10th90th$49$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
$30.20 / $93.33 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $81.28 / $275.42
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $33.11 / $81.28
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $28.84 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $91.20 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $26.30 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $63.10 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $102.33 / $173.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $31.62 / $58.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $54.95 / $107.15
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $104.71 / $134.90
ConnectiCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $31.62 / $52.48
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $47.86 / $117.49
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $44.67 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $74.13 / $181.97
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $29.51 / $72.44
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $35.48 / $123.03