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Wyoming rates for HCPCS 76857

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

Facilitymedian $23 · 10th–90th $23–$230%50%100%$23Professionalmedian $45 · 10th–90th $22–$1200%5%10th90th$45$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $72.44 / $177.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $25.70 / $48.98
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.85 / $30.20 / $74.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $199.53 / $199.53
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $93.33 / $93.33
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $107.15 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $100.00 / $165.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $37.15 / $69.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $53.70 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $102.33 / $331.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $48.98 / $75.86
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $67.61 / $269.15