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Florida rates for HCPCS 76857

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

Facilitymedian $20 · 10th–90th $15$790%20%10th90th$20Professionalmedian $43 · 10th–90th $18$1290%5%10th90th$43$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
$15.14 / $20.42 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $75.86 / $257.04
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $31.62 / $69.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $28.18 / $70.79
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $40.74 / $66.07
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $22.91 / $45.71
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$10.47 / $20.89 / $25.12
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $28.84 / $67.61
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$5.75 / $30.90 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $64.57 / $144.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $22.39 / $50.12
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $34.67 / $97.72
Florida Blue
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $54.95 / $81.28
Florida Blue
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $20.42 / $34.67
Florida Blue
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $31.62 / $64.57
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $32.36 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $64.57 / $117.49
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $20.89 / $58.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $29.51 / $81.28
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $52.48
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $17.78 / $24.55
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $20.42 / $28.18