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Pelvic Ultrasound, Limited

Oregon 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?

$107

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $107 for this service. Most negotiated rates run $75.86 to $155.

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 $107 · 10th to 90th $52 to $324
$50$100$200$500professional $107

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
$32.36
Median
$54.95
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$107.15
Typical High
$338.84
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$33.88
Typical High
$97.72
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.50
Median
$56.23
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$104.71
Typical High
$194.98
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.89
Median
$41.69
Typical High
$64.57
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$28.18
Median
$60.26
Typical High
$141.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$109.65
Typical High
$134.90
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$50.12
Typical High
$58.88
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$52.48
Median
$58.88
Typical High
$74.13
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$112.20
Typical High
$165.96
Moda Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$51.29
Typical High
$69.18
Moda Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$43.65
Median
$60.26
Typical High
$87.10
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$39.81
Typical High
$138.04
Providence
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$107.15
Typical High
$181.97
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$44.67
Typical High
$64.57
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$36.31
Median
$58.88
Typical High
$154.88
Regence BlueShield
Setting
Facility
Modifier
26 · Professional part
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$114.82
Typical High
$147.91
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$53.70
Typical High
$67.61
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$61.66
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$79.43
Typical High
$147.91
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.42
Median
$27.54
Typical High
$74.13
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.44
Median
$39.81
Typical High
$95.50

Where Oregon 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.

Oregon· 4th of 51

$107

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.