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Pelvic Ultrasound, Limited

Tennessee 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?

$81.28

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $81.28 for this service. Most negotiated rates run $45.71 to $132.

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 $81 · 10th to 90th $40 to $339
$50$100$200$500professional $81

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
$26.92
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$83.18
Typical High
$338.84
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.05
Median
$27.54
Typical High
$95.50
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.05
Median
$26.30
Typical High
$70.79
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$42.66
Typical High
$87.10
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$22.91
Typical High
$56.23
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$10.47
Median
$19.95
Typical High
$35.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$56.23
Typical High
$144.54
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.38
Median
$31.62
Typical High
$57.54
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$40.74
Typical High
$112.20
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$6.03
Median
$28.18
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$70.79
Typical High
$138.04
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.62
Median
$26.92
Typical High
$47.86
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$39.81
Typical High
$102.33
Lucent Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Lucent Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Lucent Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$389.05
Median
$389.05
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$67.61
Typical High
$117.49
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.42
Median
$26.30
Typical High
$50.12
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$21.38
Median
$30.20
Typical High
$87.10

Where Tennessee 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.

Tennessee· 30th of 51

$81.28

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.