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Pelvic Ultrasound, Limited

Illinois rates for HCPCS 76857

This is a focused ultrasound exam of the pelvic organs, used to look at a specific area of concern or to follow up on a previous finding rather than survey the entire pelvis. It's commonly used for a targeted question, such as checking a specific ovary or a known cyst.

Rates data updated July 2026.

How much does Pelvic Ultrasound, Limited cost?

$79.43

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $79.43 for this service. Most negotiated rates run $48.98 to $126.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $79 · 10th to 90th $41 to $309
$50$100$200$500professional $79

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$22.39
Median
$33.11
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$83.18
Typical High
$346.74
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.05
Median
$33.11
Typical High
$104.71
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.95
Median
$26.92
Typical High
$67.61
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$42.66
Typical High
$61.66
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.62
Median
$23.99
Typical High
$45.71
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$10.47
Median
$20.89
Typical High
$32.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$56.23
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$75.86
Typical High
$138.04
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$30.20
Typical High
$45.71
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$39.81
Typical High
$104.71
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$117.49
Typical High
$389.05
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$42.66
Typical High
$177.83
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$29.51
Median
$53.70
Typical High
$239.88
Hally Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$66.07
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$28.84
Typical High
$30.90
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.90
Median
$31.62
Typical High
$34.67
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$85.11
Typical High
$141.25
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$43.65
Typical High
$100.00
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.99
Median
$48.98
Typical High
$100.00

Where Illinois sits

The same service costs 3.2 times more in Wisconsin than in Oklahoma. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 32nd of 51

$79.43

WI $145OK $44.67

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.