go back

Pelvic Ultrasound, Limited

New Jersey 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?

$66.07

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $66.07 for this service. Most negotiated rates run $47.86 to $91.20.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $66 · 10th to 90th $36 to $151
$50$100$200professional $66

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
$15.85
Median
$31.62
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$69.18
Typical High
$154.88
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.22
Median
$23.99
Typical High
$72.44
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$17.78
Median
$33.88
Typical High
$74.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$46.77
Typical High
$58.88
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$20.89
Typical High
$45.71
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$29.51
Typical High
$120.23
AmeriHealth
Setting
Professional
Modifier
26 · Professional part
Typical Low
$13.80
Median
$26.30
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$81.28
Typical High
$151.36
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$17.38
Median
$27.54
Typical High
$47.86
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$44.67
Typical High
$112.20
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$125.89
Emblem Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$31.62
Typical High
$51.29
Emblem Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$33.11
Median
$37.15
Typical High
$57.54
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$51.29
Typical High
$117.49
Horizon BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.95
Median
$23.99
Typical High
$43.65
Horizon BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$21.38
Median
$25.12
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$69.18
Typical High
$117.49
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.98
Median
$26.92
Typical High
$50.12
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.42
Median
$32.36
Typical High
$87.10

Where New Jersey 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.

New Jersey· 38th of 51

$66.07

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.