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New Mexico rates for HCPCS 76857

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

Facilitymedian $35 · 10th–90th $30$440%20%10th90th$35Professionalmedian $37 · 10th–90th $18$1120%5%10th90th$37$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
$29.51 / $34.67 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $57.54 / $281.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $25.70 / $81.28
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $26.92 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $34.67 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $107.15 / $165.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $26.92 / $35.48
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $85.11 / $131.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $33.11 / $56.23
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $107.15 / $165.96
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $27.54 / $35.48
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $89.13 / $131.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $100.00 / $147.91
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $25.70 / $85.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $79.43 / $114.82