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Pelvic Ultrasound, Limited

Maryland 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?

$83.18

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $83.18 for this service. Most negotiated rates run $48.98 to $135.

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 $83 · 10th to 90th $43 to $302
$50$100$200$500professional $83

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
$13.49
Median
$19.95
Typical High
$28.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$83.18
Typical High
$309.03
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.05
Median
$26.30
Typical High
$81.28
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$18.62
Median
$28.18
Typical High
$100.00
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$50.12
Typical High
$79.43
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.88
Median
$22.39
Typical High
$26.92
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.30
Median
$27.54
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$70.79
Typical High
$134.90
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.22
Median
$23.44
Typical High
$43.65
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$21.38
Median
$38.02
Typical High
$97.72
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$63.10
Typical High
$97.72
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.88
Median
$28.18
Typical High
$38.90
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$29.51
Median
$34.67
Typical High
$58.88
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$77.62
Typical High
$151.36
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$15.85
Median
$25.70
Typical High
$72.44
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$21.38
Median
$42.66
Typical High
$107.15
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$66.07
Typical High
$77.62
Wellpoint
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.88
Median
$29.51
Typical High
$35.48
Wellpoint
Setting
Professional
Modifier
TC · Technical part
Typical Low
$25.70
Median
$37.15
Typical High
$42.66

Where Maryland 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.

Maryland· 25th of 51

$83.18

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.