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Unlisted Ultrasound Procedure

Pennsylvania rates for HCPCS 76999

An ultrasound examination that has no standard named entry of its own. Ultrasound sends harmless sound waves in through a probe and builds a live picture from the echoes, without using radiation. What is examined and why depends on the individual case, so a written report describing exactly what was done accompanies it.

Rates data updated July 2026.

How much does Unlisted Ultrasound Procedure cost?

$603

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $631 from a physician practice, and about $200 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$631$603 to $64,565
FacilityA hospital or hospital-owned outpatient department$200$182 to $219

How much rates vary

Facilitymedian $200 · 10th to 90th $102 to $275Professionalmedian $631 · 10th to 90th $39 to $64,565
$100$1K$10Kfacility $200professional $631

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
Facility
Modifier
Global
Typical Low
$85.11
Median
$199.53
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$602.56
Typical High
$630.96
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$64,565.42
Median
$64,565.42
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$194.98
Typical High
$275.42
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$204.17
Typical High
$295.12
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$199.53
Typical High
$512.86
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$602.56
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$208.93
Typical High
$288.40

Where Pennsylvania sits

The same service costs 15.8 times more in New Hampshire than in South Dakota. 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.

Pennsylvania· 11th of 51

$603

NH $1,202SD $75.86

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.