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Pelvic Ultrasound, Limited

Nebraska 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?

$93.33

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $93.33 for this service. Most negotiated rates run $53.70 to $110.

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 $93 · 10th to 90th $46 to $309
$50$100$200$500professional $93

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
$47.86
Median
$72.44
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$93.33
Typical High
$309.03
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.39
Median
$46.77
Typical High
$85.11
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$22.91
Median
$52.48
Typical High
$138.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$53.70
Typical High
$120.23
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$41.69
Typical High
$50.12
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$50.12
Median
$52.48
Typical High
$53.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$89.13
Typical High
$93.33
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$43.65
Typical High
$46.77
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$42.66
Median
$47.86
Typical High
$60.26
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$107.15
Typical High
$147.91
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.50
Median
$45.71
Typical High
$69.18
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$52.48
Typical High
$81.28
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$89.13
Typical High
$204.17
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$41.69
Typical High
$234.42
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.30
Median
$48.98
Typical High
$398.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$107.15
Typical High
$169.82
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$52.48
Typical High
$79.43
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$48.98
Median
$51.29
Typical High
$91.20
Midlands
Setting
Facility
Modifier
26 · Professional part
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$112.20
Typical High
$154.88
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$37.15
Typical High
$58.88
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$81.28
Typical High
$117.49
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$45.71
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$95.50
Typical High
$173.78
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$38.90
Typical High
$63.10
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.30
Median
$50.12
Typical High
$117.49

Where Nebraska 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.

Nebraska· 11th of 51

$93.33

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.