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Ultrasound Of An Infant's Hips, Standard View

South Dakota rates for HCPCS 76886

Sound waves are used to create images of an infant's hip joints, checking that the ball-and-socket joint is properly formed and positioned, which is important for catching hip dysplasia early. This version images the hips in their resting position, without the examiner applying gentle stress maneuvers to the joint during the scan.

Facilitymedian $166 · 10th–90th $107$3090%20%10th90th$166Professionalmedian $126 · 10th–90th $89$2400%10%20%10th90th$126$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$295.12
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$102.33
Typical High
$165.96
Avera
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$239.88
Typical High
$295.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$229.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$194.98
Typical High
$645.65
Midlands
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$213.80
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$162.18
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$165.96
Typical High
$239.88
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$208.93
Typical High
$208.93