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Pelvic Ultrasound, Limited

Vermont 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 Vermont, July 2026.

Insurers have agreed to pay about $83.18 for this service. Most negotiated rates run $48.98 to $85.11.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $83 · 10th to 90th $36 to $120
$50$100$200professional $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
Professional
Modifier
Global
Typical Low
$30.90
Median
$83.18
Typical High
$91.20
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.98
Median
$20.42
Typical High
$79.43
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$15.14
Median
$63.10
Typical High
$70.79
BCBS
Setting
Facility
Modifier
26 · Professional part
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$58.88
Typical High
$58.88
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$56.23
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$109.65
Typical High
$208.93
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.22
Median
$33.88
Typical High
$97.72
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$31.62
Median
$44.67
Typical High
$120.23
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$51.29
Typical High
$208.93
MVP Health Care
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.05
Median
$25.70
Typical High
$100.00
MVP Health Care
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.99
Median
$27.54
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$83.18
Typical High
$147.91
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.88
Median
$27.54
Typical High
$60.26
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$22.91
Median
$33.88
Typical High
$109.65

Where Vermont 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.

Vermont· 26th 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.