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Maine rates for HCPCS 76857

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

Facilitymedian $30 · 10th–90th $27$2950%20%40%10th90th$30Professionalmedian $47 · 10th–90th $20$1260%5%10th90th$47$20.0$100.0$500.0$2.0K

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
$26.92 / $29.51 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $81.28 / $169.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $33.11 / $56.23
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $30.20 / $69.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $61.66 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $28.84 / $44.67
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $32.36 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $89.13 / $165.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $33.11 / $56.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $53.70 / $109.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $77.62 / $144.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $36.31 / $67.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $41.69 / $77.62
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.18 / $28.18 / $3,388.44
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $70.79 / $141.25
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $29.51 / $57.54
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $36.31 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $83.18 / $144.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $37.15 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $38.90 / $77.62