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Pelvic Ultrasound, Limited

North Dakota 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?

$91.20

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $91.20 for this service. Most negotiated rates run $67.61 to $129.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $91 · 10th to 90th $42 to $191
$20$50$100$200$500professional $91

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
$23.99
Median
$25.12
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$83.18
Typical High
$239.88
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$25.12
Typical High
$91.20
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$63.10
Typical High
$478.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$114.82
Typical High
$128.82
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$52.48
Typical High
$60.26
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$60.26
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$95.50
Typical High
$134.90
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.38
Median
$34.67
Typical High
$57.54
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$25.12
Median
$51.29
Typical High
$87.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$91.20
Typical High
$575.44
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$46.77
Typical High
$234.42
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$28.18
Median
$48.98
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$91.20
Typical High
$120.23
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$42.66
Typical High
$85.11
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.99
Median
$46.77
Typical High
$81.28

Where North Dakota 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 Dakota· 13th of 51

$91.20

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.