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Illinois rates for HCPCS 76857

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

Facilitymedian $35 · 10th–90th $21$710%10%20%10th90th$35Professionalmedian $51 · 10th–90th $22$1620%5%10th90th$51$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
$20.89 / $35.48 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $83.18 / $309.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $38.02 / $89.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $33.88 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $44.67 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $23.99 / $33.11
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$10.47 / $20.89 / $32.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $54.95 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $77.62 / $138.04
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $29.51 / $44.67
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $39.81 / $109.65
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $117.49 / $389.05
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $42.66 / $177.83
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $53.70 / $239.88
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $66.07
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $28.84 / $30.90
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $31.62 / $34.67
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $83.18 / $138.04
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $38.90 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $43.65 / $100.00