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Tennessee rates for HCPCS 76857

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

Facilitymedian $27 · 10th–90th $20$1480%20%10th90th$27Professionalmedian $46 · 10th–90th $20$1780%5%10%10th90th$46$5.0$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
$19.95 / $26.92 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $81.28 / $331.13
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $30.90 / $93.33
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $26.92 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $41.69 / $83.18
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $25.12 / $56.23
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $23.44 / $35.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $57.54 / $131.83
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $31.62 / $53.70
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $39.81 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $70.79 / $138.04
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $26.92 / $47.86
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $39.81 / $102.33
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$389.05 / $389.05 / $416.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $69.18 / $120.23
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $26.30 / $47.86
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $32.36 / $87.10