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North Carolina rates for HCPCS 76857

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

Facilitymedian $29 · 10th–90th $21$810%20%10th90th$29Professionalmedian $55 · 10th–90th $22$1620%5%10th90th$55$5.0$10.0$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
$20.89 / $28.84 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $87.10 / $309.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $35.48 / $91.20
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $34.67 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $66.07 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $33.88 / $45.71
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $41.69 / $67.61
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $77.62 / $151.36
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$5.75 / $26.92 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $93.33 / $169.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $31.62 / $61.66
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $56.23 / $131.83
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $112.20 / $131.83
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $33.11 / $51.29
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $120.23
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $47.86 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $85.11 / $131.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $27.54 / $67.61
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $44.67 / $91.20
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
Wellcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
Wellcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$389.05 / $416.87 / $416.87