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Idaho rates for HCPCS 76857

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

Facilitymedian $52 · 10th–90th $30$630%20%10th90th$52Professionalmedian $55 · 10th–90th $21$1620%5%10th90th$55$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 / $35.48 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $91.20 / $323.59
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $32.36 / $77.62
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $45.71 / $97.72
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $91.20 / $114.82
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $44.67 / $50.12
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $47.86 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $77.62 / $131.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $35.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $39.81 / $81.28
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $426.58
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $93.33 / $93.33
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $154.88 / $338.84
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.88 / $57.54 / $63.10
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $93.33 / $177.83
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $40.74 / $64.57
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $50.12 / $75.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $33.11 / $87.10
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $100.00 / $120.23
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $46.77 / $50.12
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $52.48 / $61.66
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $186.21
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $22.91 / $45.71
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $26.92 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $91.20 / $186.21
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $26.30 / $51.29
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $47.86 / $151.36