Average Medicaid Ultrasound Payments
Typical Medicaid Ultrasound reimbursement across 3,957 cities
Avg. Medicaid Paid
$62.22
Price Range
$0.00 – $660.56
Total Claims
87.1M
Cities
3957
Typical Payment Range
Typical Medicaid Ultrasound payments fall between $21.66 and $71.50 per claim (median: $37.78). The top 10% of payments exceed $100.23.
Based on per-provider averages across all Medicaid claims in this category.
About This Procedure
Ultrasound imaging uses high-frequency sound waves to create images of structures within the body. Common uses include pregnancy monitoring, abdominal imaging, and cardiovascular assessment.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Madison, WI | $42.59 | $7.82 – $91.71 | 169,900 | 80 |
| Galveston, TX | $73.63 | $14.66 – $138.81 | 167,849 | 37 |
| Jacksonville, FL | $42.08 | $0.00 – $145.38 | 167,326 | 159 |
| Englewood, NJ | $74.82 | $5.79 – $108.32 | 166,173 | 30 |
| Spokane, WA | $53.16 | $0.00 – $633.31 | 165,983 | 102 |
| Iowa City, IA | $58.44 | $0.00 – $104.13 | 165,568 | 94 |
| Santa Monica, CA | $30.17 | $7.17 – $106.36 | 163,467 | 43 |
| Downey, CA | $58.78 | $0.00 – $126.68 | 163,154 | 28 |
| Torrance, CA | $46.95 | $0.00 – $170.57 | 162,795 | 62 |
| Modesto, CA | $73.41 | $0.00 – $123.83 | 162,211 | 73 |
| Charleston, WV | $49.95 | $6.93 – $115.88 | 161,152 | 50 |
| Webster, TX | $81.08 | $0.00 – $122.26 | 159,088 | 24 |
| Falls Church, VA | $63.61 | $16.31 – $266.20 | 157,423 | 26 |
| West Covina, CA | $60.42 | $0.00 – $73.37 | 156,802 | 20 |
| Lancaster, CA | $81.65 | $0.00 – $156.75 | 155,594 | 29 |
| Buffalo, NY | $72.00 | $0.00 – $177.50 | 154,539 | 81 |
| Yuma, AZ | $98.09 | $0.00 – $145.93 | 152,765 | 30 |
| Salinas, CA | $74.47 | $12.56 – $119.58 | 151,984 | 47 |
| Loma Linda, CA | $46.63 | $0.00 – $112.25 | 151,147 | 80 |
| Jersey City, NJ | $91.14 | $1.48 – $114.30 | 150,667 | 25 |
| Clifton, NJ | $89.46 | $19.83 – $134.99 | 150,507 | 21 |
| Visalia, CA | $30.54 | $1.68 – $68.12 | 149,331 | 27 |
| Toledo, OH | $52.93 | $10.59 – $293.18 | 148,138 | 93 |
| Caguas, PR | $75.63 | $2.43 – $125.11 | 147,542 | 34 |
| Columbia, SC | $75.60 | $5.23 – $201.56 | 147,534 | 69 |
| Sioux Falls, SD | $48.46 | $12.15 – $131.38 | 147,099 | 33 |
| Huntington, WV | $38.58 | $9.93 – $233.35 | 146,557 | 52 |
| Rego Park, NY | $80.11 | $3.36 – $115.13 | 145,464 | 31 |
| La Mesa, CA | $86.95 | $14.31 – $141.52 | 144,552 | 33 |
| Silver Spring, MD | $69.33 | $2.53 – $148.21 | 142,698 | 51 |
| Jackson, TN | $55.42 | $2.21 – $105.29 | 141,477 | 44 |
| Winston Salem, NC | $60.15 | $3.64 – $180.65 | 140,127 | 113 |
| Ypsilanti, MI | $27.49 | $16.52 – $82.28 | 140,126 | 10 |
| Hackensack, NJ | $65.43 | $1.33 – $88.19 | 138,969 | 60 |
| Worcester, MA | $52.49 | $7.07 – $173.87 | 138,279 | 138 |
| Mineola, NY | $91.36 | $0.00 – $141.69 | 134,439 | 38 |
| Ventura, CA | $58.60 | $0.00 – $125.77 | 134,393 | 28 |
| East Brunswick, NJ | $39.82 | $11.68 – $100.20 | 133,355 | 98 |
| Lindenhurst, NY | $83.18 | $18.51 – $131.13 | 132,516 | 27 |
| Edison, NJ | $89.04 | $1.75 – $220.55 | 131,434 | 24 |
| Durham, NC | $46.46 | $0.00 – $164.22 | 130,491 | 91 |
| San Gabriel, CA | $45.62 | $9.33 – $53.68 | 129,612 | 13 |
| New Brunswick, NJ | $132.78 | $22.76 – $187.92 | 128,003 | 23 |
| Vancouver, WA | $74.01 | $10.69 – $170.59 | 127,707 | 50 |
| Omaha, NE | $73.86 | $0.48 – $317.64 | 126,534 | 123 |
| Neptune, NJ | $53.47 | $4.94 – $211.51 | 126,133 | 19 |
| Lynnwood, WA | $21.96 | $8.42 – $80.25 | 125,045 | 97 |
| Cambridge, MA | $78.24 | $13.94 – $140.62 | 124,025 | 29 |
| Syracuse, NY | $101.06 | $10.62 – $199.43 | 123,753 | 67 |
| Stamford, CT | $70.21 | $16.74 – $138.37 | 123,746 | 26 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 76816 | US preg follow-up | $64.31 | 12,130,166 | 10,635 |
| 76705 | US abdomen limited | $40.77 | 9,548,254 | 16,963 |
| 76830 | US transvaginal | $61.90 | 8,470,313 | 15,779 |
| 76856 | US pelvic complete | $63.28 | 7,264,182 | 12,691 |
| 76819 | US fetal biophys w/o NST | $58.81 | 6,784,295 | 5,910 |
| 76815 | US preg limited | $42.27 | 6,171,129 | 11,861 |
| 76817 | US preg transvaginal | $51.81 | 5,811,007 | 10,709 |
| 76700 | US abdomen complete | $69.89 | 4,948,542 | 9,023 |
| 76805 | US preg uterus complete | $76.71 | 4,669,129 | 10,066 |
| 76801 | US preg uterus 1st trimester | $61.53 | 4,225,903 | 8,783 |
| 76811 | US preg detailed 1st fetus | $122.76 | 4,139,815 | 4,082 |
| 76770 | US retroperitoneal complete | $64.17 | 3,916,323 | 8,673 |
| 76642 | US breast limited | $46.25 | 3,322,209 | 6,434 |
| 76641 | US breast complete | $71.36 | 2,541,861 | 2,744 |
| 76536 | US soft tissue head/neck | $59.85 | 2,463,310 | 6,231 |
| 76818 | US fetal biophysical profile | $82.56 | 1,637,498 | 1,899 |
| 93880 | US carotid duplex bilateral | $77.83 | 1,229,268 | 3,511 |
| 76813 | US preg nuchal 1st fetus | $77.48 | 1,002,539 | 2,070 |
| 76775 | US retroperitoneal limited | $44.79 | 630,072 | 1,927 |
| 76870 | US scrotum | $50.59 | 555,681 | 1,490 |
| 76857 | US pelvic limited | $34.06 | 545,344 | 1,502 |
| 76882 | US extremity limited | $35.08 | 478,792 | 1,361 |
| 76881 | US extremity complete | $51.37 | 396,125 | 660 |
| 76604 | US chest | $36.04 | 97,816 | 368 |
| 93882 | US carotid duplex unilateral | $61.51 | 9,338 | 41 |
| 76831 | US saline infusion sonohyst | $125.46 | 4,587 | 36 |
| 76810 | US preg uterus complete addl | $63.34 | 3,070 | 21 |
| 76802 | US preg uterus 1st tri addl | $11.09 | 1,766 | 15 |
| 76812 | US preg detailed addl fetus | $104.35 | 692 | 12 |
| 76814 | US preg nuchal addl fetus | $18.34 | 613 | 7 |
These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.