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Pelvic Ultrasound, Limited

Rhode Island 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?

$115

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $115 for this service. Most negotiated rates run $81.28 to $309.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $115 · 10th to 90th $52 to $479
$50$100$200$500professional $115

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
$95.50
Median
$147.91
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$123.03
Typical High
$478.63
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$38.02
Typical High
$97.72
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$18.62
Median
$56.23
Typical High
$70.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$63.10
Typical High
$123.03
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.42
Median
$28.84
Typical High
$38.02
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.44
Median
$33.11
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$89.13
Typical High
$128.82
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$33.88
Typical High
$51.29
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$25.70
Median
$42.66
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$69.18
Typical High
$117.49
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.05
Median
$27.54
Typical High
$45.71
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$22.91
Median
$33.11
Typical High
$77.62

Where Rhode Island 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.

Rhode Island· 3rd of 51

$115

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.