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Pelvic Ultrasound, Limited

Michigan 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?

$85.11

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $85.11 for this service. Most negotiated rates run $58.88 to $141.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $85 · 10th to 90th $47 to $309
$50$100$200$500professional $85

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
$28.18
Median
$28.18
Typical High
$35.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$89.13
Typical High
$331.13
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.05
Median
$35.48
Typical High
$104.71
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$33.11
Typical High
$100.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$38.90
Typical High
$46.77
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$23.99
Typical High
$39.81
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$79.43
Typical High
$85.11
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
CareSource
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$32.36
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$77.62
Typical High
$169.82
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$17.38
Median
$28.18
Typical High
$57.54
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$38.90
Typical High
$104.71
Health Alliance Plan
Setting
Facility
Modifier
26 · Professional part
Typical Low
$24.55
Median
$28.18
Typical High
$41.69
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$70.79
Typical High
$123.03
Health Alliance Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.98
Median
$26.92
Typical High
$46.77
Health Alliance Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$21.38
Median
$38.02
Typical High
$85.11
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$69.18
Typical High
$141.25
Priority Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.50
Median
$29.51
Typical High
$41.69
Priority Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$22.91
Median
$26.92
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$85.11
Typical High
$177.83
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.95
Median
$33.88
Typical High
$114.82
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$22.91
Median
$40.74
Typical High
$102.33

Where Michigan 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.

Michigan· 22nd of 51

$85.11

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.