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Virginia rates for HCPCS 76857

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

Facilitymedian $35 · 10th–90th $21$930%20%10th90th$35Professionalmedian $43 · 10th–90th $21$1200%10%10th90th$43$0.0$0.2$2.0$20.0$200.0$2.0K

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
$20.89 / $34.67 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $72.44 / $199.53
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $33.11 / $67.61
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $28.18 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $67.61 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $30.20 / $44.67
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $36.31 / $61.66
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $50.12 / $239.88
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $26.92 / $38.02
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $30.90 / $46.77
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$5.75 / $26.92 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $74.13 / $131.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $25.12 / $47.86
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $43.65 / $93.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $57.54 / $74.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $25.70 / $34.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $32.36 / $39.81
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $107.15 / $131.83
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $33.11 / $38.02
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $79.43
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $72.44 / $275.42
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $28.84 / $46.77
Sentara
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $47.86 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $72.44 / $138.04
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $25.12 / $47.86
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $39.81 / $107.15