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Pelvic Ultrasound, Limited

Minnesota 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?

$107

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $107 for this service. Most negotiated rates run $77.62 to $182.

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 $107 · 10th to 90th $51 to $324
$50$100$200$500professional $107

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
$23.99
Median
$23.99
Typical High
$25.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$93.33
Typical High
$436.52
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.05
Median
$33.88
Typical High
$97.72
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.95
Median
$38.02
Typical High
$151.36
BCBS
Setting
Facility
Modifier
26 · Professional part
Typical Low
$17.78
Median
$20.42
Typical High
$20.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$181.97
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$58.88
Typical High
$83.18
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$72.44
Typical High
$95.50
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$19.95
Median
$72.44
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$97.72
Typical High
$162.18
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$43.65
Typical High
$69.18
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$38.90
Median
$52.48
Typical High
$97.72
Health Partners
Setting
Facility
Modifier
26 · Professional part
Typical Low
$64.57
Median
$93.33
Typical High
$181.97
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$125.89
Health Partners
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$34.67
Typical High
$54.95
Health Partners
Setting
Professional
Modifier
TC · Technical part
Typical Low
$40.74
Median
$40.74
Typical High
$64.57
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$123.03
Typical High
$398.11
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$24.55
Median
$50.12
Typical High
$234.42
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.99
Median
$48.98
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$91.20
Typical High
$371.54
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$87.10
Typical High
$190.55
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.99
Median
$54.95
Typical High
$112.20

Where Minnesota 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.

Minnesota· 6th of 51

$107

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.