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Pelvic Ultrasound, Limited

Virginia 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?

$63.10

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $63.10 for this service. Most negotiated rates run $45.71 to $87.10.

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 $63 · 10th to 90th $41 to $135
$20$50$100$200professional $63

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
$20.89
Median
$35.48
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$53.70
Typical High
$134.90
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.89
Median
$30.90
Typical High
$64.57
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$26.30
Typical High
$100.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$66.07
Typical High
$97.72
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.89
Median
$30.20
Typical High
$44.67
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$25.12
Median
$35.48
Typical High
$61.66
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$56.23
Typical High
$288.40
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.39
Median
$22.39
Typical High
$28.84
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$27.54
Median
$27.54
Typical High
$48.98
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
$40.74
Median
$75.86
Typical High
$131.83
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.98
Median
$25.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$43.65
Typical High
$91.20
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$57.54
Typical High
$74.13
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.89
Median
$25.70
Typical High
$34.67
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$25.70
Median
$32.36
Typical High
$39.81
Medcost
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$107.15
Typical High
$131.83
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$33.11
Typical High
$38.02
Medcost
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$79.43
Sentara
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$72.44
Typical High
$275.42
Sentara
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.38
Median
$28.84
Typical High
$46.77
Sentara
Setting
Professional
Modifier
TC · Technical part
Typical Low
$25.12
Median
$48.98
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$74.13
Typical High
$141.25
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$15.49
Median
$25.70
Typical High
$56.23
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.05
Median
$40.74
Typical High
$109.65

Where Virginia 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.

Virginia· 40th of 51

$63.10

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.