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Transrectal Ultrasound

Washington, DC rates for HCPCS 76872

This is an ultrasound exam performed with a small probe placed in the rectum to get a close-up view of nearby pelvic structures using sound waves rather than radiation. It is most often used to evaluate the prostate gland in men, including to guide a prostate biopsy.

Rates data updated October 2026.

How much does Transrectal Ultrasound cost?

$166

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $166 for this service. Most negotiated rates run $129 to $224.

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

Facilitymedian $1,023 · 10th to 90th $132 to $1,175Professionalmedian $158 · 10th to 90th $72 to $324
$50$100$200$500$1Kfacility $1,023professional $158

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$114.82
Median
$131.83
Typical High
$234.42
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$27.54
Median
$28.18
Typical High
$50.12
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$85.11
Median
$104.71
Typical High
$173.78
CareFirst
Setting
Professional
Modifier
None (both parts)
Typical Low
$30.90
Median
$199.53
Typical High
$239.88
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$33.88
Typical High
$40.74
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$169.82
Median
$169.82
Typical High
$190.55
Cigna
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$1,071.52
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$114.82
Median
$177.83
Typical High
$489.78
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$38.02
Typical High
$85.11
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$75.86
Median
$151.36
Typical High
$416.87
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$138.04
Typical High
$478.63
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$114.82
Median
$158.49
Typical High
$691.83
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$27.54
Median
$34.67
Typical High
$102.33
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$87.10
Median
$123.03
Typical High
$588.84
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$57.54
Median
$66.07
Typical High
$66.07
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$22.91
Median
$26.30
Typical High
$26.30
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$97.72
Median
$104.71
Typical High
$104.71

Where Washington, DC sits

The same service costs 4.9 times more in Wyoming than in Utah. 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.

Washington, DC· 22nd of 51

$166

WY $501UT $102

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.