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Pelvic Ultrasound, Limited

South Carolina 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?

$87.10

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $87.10 for this service. Most negotiated rates run $53.70 to $257.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $87 · 10th to 90th $41 to $490
$50$100$200$500professional $87

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
$19.95
Median
$25.12
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$91.20
Typical High
$489.78
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.05
Median
$32.36
Typical High
$190.55
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.50
Median
$23.44
Typical High
$69.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$69.18
Typical High
$100.00
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$25.12
Typical High
$45.71
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$22.39
Median
$23.44
Typical High
$27.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$79.43
Typical High
$117.49
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$26.92
Typical High
$44.67
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.30
Median
$48.98
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$141.25
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.50
Median
$27.54
Typical High
$40.74
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$24.55
Median
$53.70
Typical High
$104.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$83.18
Typical High
$134.90
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$24.55
Typical High
$47.86
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$56.23
Typical High
$104.71

Where South Carolina 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.

South Carolina· 17th of 51

$87.10

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.