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North Dakota rates for HCPCS 76857

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

Facilitymedian $24 · 10th–90th $24$420%50%90th$24Professionalmedian $48 · 10th–90th $19$1260%5%10th90th$48$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
$23.99 / $23.99 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $70.79 / $199.53
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $30.90 / $64.57
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $28.18 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $114.82 / $128.82
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $53.70 / $60.26
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $61.66 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $95.50 / $134.90
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $34.67 / $57.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $51.29 / $87.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $91.20 / $575.44
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $46.77 / $234.42
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $48.98 / $398.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $91.20 / $125.89
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $43.65 / $85.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $46.77 / $83.18