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Oregon rates for HCPCS 76857

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

Facilitymedian $50 · 10th–90th $32$850%20%10th90th$50Professionalmedian $62 · 10th–90th $22$1780%5%10th90th$62$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
$32.36 / $50.12 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $100.00 / $338.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $34.67 / $93.33
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $38.90 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $102.33 / $190.55
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $41.69 / $64.57
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $57.54 / $134.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $109.65 / $134.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $50.12 / $58.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $58.88 / $74.13
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$32.36 / $50.12 / $95.50
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $109.65 / $173.78
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $47.86 / $72.44
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $56.23 / $87.10
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $39.81 / $138.04
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $107.15 / $181.97
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $44.67 / $64.57
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $58.88 / $154.88
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $112.20 / $147.91
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $50.12 / $67.61
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $58.88 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $79.43 / $147.91
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $27.54 / $72.44
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $39.81 / $85.11