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New Jersey rates for HCPCS 76857

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

Facilitymedian $32 · 10th–90th $16$1510%10%10th90th$32Professionalmedian $42 · 10th–90th $20$1200%5%10th90th$42$5.0$10.0$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
$15.85 / $31.62 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $70.79 / $177.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $30.20 / $56.23
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $30.90 / $83.18
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $46.77 / $58.88
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $20.89 / $43.65
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $77.62 / $147.91
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $26.30 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $81.28 / $154.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.38 / $27.54 / $47.86
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $44.67 / $112.20
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $70.79 / $125.89
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $31.62 / $51.29
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $37.15 / $57.54
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $51.29 / $117.49
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $23.99 / $43.65
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $25.12 / $74.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $64.57 / $117.49
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.60 / $26.30 / $48.98
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $32.36 / $87.10