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Pelvic Ultrasound, Limited

South Dakota 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?

$83.18

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $83.18 for this service. Most negotiated rates run $51.29 to $115.

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 $83 · 10th to 90th $49 to $148
$50$100$200$500professional $83

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
$25.12
Median
$25.12
Typical High
$25.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$51.29
Typical High
$117.49
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.39
Median
$34.67
Typical High
$91.20
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$25.70
Median
$89.13
Typical High
$478.63
Avera
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$85.11
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$120.23
Typical High
$147.91
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$54.95
Typical High
$69.18
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$64.57
Typical High
$81.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$95.50
Typical High
$575.44
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$24.55
Median
$50.12
Typical High
$234.42
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.99
Median
$46.77
Typical High
$398.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$109.65
Typical High
$109.65
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$50.12
Median
$57.54
Typical High
$57.54
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$51.29
Typical High
$57.54
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$83.18
Typical High
$134.90
Sanford Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$24.55
Median
$38.90
Typical High
$45.71
Sanford Health Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$28.84
Median
$44.67
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$87.10
Typical High
$134.90
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.89
Median
$32.36
Typical High
$53.70
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$28.18
Median
$42.66
Typical High
$75.86
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$107.15
Typical High
$107.15
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$48.98
Typical High
$50.12
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$48.98
Median
$57.54
Typical High
$57.54

Where South Dakota 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 Dakota· 28th of 51

$83.18

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.