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Mississippi rates for HCPCS 76857

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

Facilitymedian $20 · 10th–90th $20$370%50%90th$20Professionalmedian $39 · 10th–90th $20$930%10%10th90th$39$20.0$50.0$100.0$200.0$500.0

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
$19.95 / $19.95 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $58.88 / $131.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $28.84 / $50.12
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $25.70 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $38.90 / $70.79
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $24.55 / $33.88
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $25.12 / $26.30
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $69.18 / $169.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.38 / $29.51 / $43.65
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $37.15 / $125.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $58.88 / $123.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $23.99 / $37.15
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $26.30 / $95.50