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Kansas rates for HCPCS 76857

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

Facilitymedian $31 · 10th–90th $26$520%20%10th90th$31Professionalmedian $41 · 10th–90th $20$950%5%10th90th$41$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
$24.55 / $30.90 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $56.23 / $112.20
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $28.18 / $56.23
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $26.92 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $47.86 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $18.20 / $25.70
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $22.91 / $32.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $64.57 / $141.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $24.55 / $45.71
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $33.88 / $107.15
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$56.23 / $114.82 / $114.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $95.50 / $575.44
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $30.90 / $234.42
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $75.86 / $398.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $67.61 / $112.20
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $26.30 / $45.71
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $32.36 / $85.11