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Pelvic Ultrasound, Limited

Louisiana 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?

$54.95

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $54.95 for this service. Most negotiated rates run $44.67 to $72.44.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $55 · 10th to 90th $37 to $98
$50$100$200professional $55

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
$27.54
Median
$30.20
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$54.95
Typical High
$97.72
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.05
Median
$28.84
Typical High
$45.71
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$17.78
Median
$25.70
Typical High
$50.12
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$37.15
Typical High
$70.79
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$25.12
Typical High
$33.88
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$61.66
Typical High
$89.13
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$30.90
Typical High
$38.90
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.92
Median
$31.62
Typical High
$56.23
Christus
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.88
Median
$27.54
Typical High
$27.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$53.70
Typical High
$128.82
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.60
Median
$24.55
Typical High
$43.65
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$15.14
Median
$26.30
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$53.70
Typical High
$109.65
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.60
Median
$24.55
Typical High
$38.02
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$18.20
Median
$25.70
Typical High
$63.10

Where Louisiana 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.

Louisiana· 45th of 51

$54.95

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.