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Pelvic Ultrasound, Limited

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $89.13 for this service. Most negotiated rates run $53.70 to $174.

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 $89 · 10th to 90th $42 to $331
$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
$20.89
Median
$26.92
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$89.13
Typical High
$331.13
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.05
Median
$32.36
Typical High
$95.50
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.42
Median
$38.02
Typical High
$83.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$66.07
Typical High
$97.72
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.95
Median
$33.88
Typical High
$45.71
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$10.72
Median
$25.12
Typical High
$28.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$41.69
Typical High
$67.61
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$53.70
Median
$77.62
Typical High
$151.36
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
$44.67
Median
$93.33
Typical High
$165.96
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.62
Median
$31.62
Typical High
$60.26
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.44
Median
$53.70
Typical High
$125.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$112.20
Typical High
$131.83
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$27.54
Median
$33.11
Typical High
$51.29
Medcost
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$120.23
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$45.71
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$85.11
Typical High
$131.83
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.62
Median
$26.92
Typical High
$87.10
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$21.38
Median
$45.71
Typical High
$91.20
Wellcare
Setting
Facility
Modifier
26 · Professional part
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Wellcare
Setting
Professional
Modifier
26 · Professional part
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Wellcare
Setting
Professional
Modifier
TC · Technical part
Typical Low
$389.05
Median
$416.87
Typical High
$416.87

Where North Carolina 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.

North Carolina· 15th 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.