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Washington, DC rates for HCPCS 76857

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

Facilitymedian $55 · 10th–90th $20$1480%20%10th90th$55Professionalmedian $45 · 10th–90th $20$1410%5%10th90th$45$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
$19.95 / $54.95 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $70.79 / $218.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $37.15 / $63.10
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $26.92 / $67.61
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $50.12 / $295.12
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $23.99 / $29.51
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $30.90 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $81.28 / $154.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $22.39 / $47.86
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $40.74 / $117.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $57.54 / $114.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $25.70 / $51.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $32.36 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $95.50 / $154.88
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $72.44 / $114.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $35.48 / $95.50