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Pelvic Ultrasound, Limited

Missouri 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?

$89.13

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $89.13 for this service. Most negotiated rates run $53.70 to $245.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $89 · 10th to 90th $46 to $437
$50$100$200$500professional $89

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
$22.91
Median
$27.54
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$93.33
Typical High
$457.09
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.05
Median
$38.02
Typical High
$97.72
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.42
Median
$32.36
Typical High
$162.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$39.81
Typical High
$75.86
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$26.30
Typical High
$38.90
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$17.78
Median
$19.95
Typical High
$39.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$56.23
Typical High
$123.03
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$24.55
Median
$28.84
Typical High
$43.65
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$26.30
Typical High
$87.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$57.54
Typical High
$83.18
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$24.55
Median
$26.30
Typical High
$33.88
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.92
Median
$29.51
Typical High
$44.67
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$6.03
Median
$28.18
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$72.44
Typical High
$158.49
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$17.78
Median
$26.92
Typical High
$61.66
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$39.81
Typical High
$117.49
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$56.23
Median
$114.82
Typical High
$114.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$79.43
Typical High
$575.44
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.95
Median
$30.90
Typical High
$234.42
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$21.88
Median
$40.74
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$70.79
Typical High
$134.90
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.50
Median
$28.84
Typical High
$95.50
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$21.88
Median
$30.20
Typical High
$85.11

Where Missouri 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.

Missouri· 14th of 51

$89.13

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.