How much does an ultrasound cost in 2021? | finder.com

Finder is committed to editorial independence. While we receive compensation when you click links to partners, they do not influence our content.

How much does an ultrasound cost?

Compare payment options and costs for an ultrasound

Top pick: Healthsherpa

Healthsherpa logo
  • Find health insurance savings in 30 seconds
  • Get custom plan recommendations
  • Free access to year-round health insurance experts
Get quotes

If you're a candidate for an ultrasound, costs vary significantly based on your insurance, where you live and the hospital or doctor you choose. Each procedure is assigned standardized, 5-digit CPT codes that hospitals and insurance companies use for billing purposes. Use the CPT code to compare prices for an ultrasound before scheduling your appointment.

Average cost for an ultrasound

If you have health insurance and use an in-network doctor, you can expect to pay $826 for an ultrasound on average. If you don't have insurance or you choose an out-of-network doctor, the cost increases to $2,196.

Average costs are based on the primary cost of an ultrasound in the 90201 ZIP code and don't factor in insurance costs like copays or deductibles, or additional fees often charged by doctors or hospitals — like medical supplies, facility fees and support services.

CPT code Procedure ZIP used Description In network total costs Out of network total costs
76700 Ultrasound 90201 Ultrasound of abdomen $826 $2,196

Related costs for an ultrasound

CPT code Primary procedure Description In network cost Out of network cost
76700 Hospital (outpatient) Hospital outpatient facility (HOSPF) estimate for procedure code 76700 (in addition to your doctor's fee) $671 $1,816
Total primary & related costs $671 $1,816

Does health insurance cover an ultrasound?

Most health insurance policies cover an ultrasound if it's medically necessary and you've met your deductible and any coinsurance or copays specified in your policy. If you don't have health insurance, you may need to pay the full cost of an ultrasound out of pocket. The exact amount your insurance pays for an ultrasound comes down to your plan and the doctor or healthcare facility you're going to. For the most accurate idea of how much you'll pay out of pocket, contact your insurance company before booking an ultrasound.

Does Medicare cover an ultrasound?

It depends on your Medicare plan, but generally Medicare covers procedures like an ultrasound that are considered medically necessary by your doctor.

  • Medicare Part A (Hospital Insurance) covers inpatient care in a hospital or skilled nursing facility following a hospital stay, so it typically won't cover an ultrasound.
  • Medicare Part B (Medical Insurance) pays for emergency, urgent and outpatient care and some preventative services, which means Medicare likely covers an ultrasound — but you'll be charged a 20% coinsurance.
  • Medicare Part C (Medicare Advantage) is a comprehensive plan that combines Part A, Part B and often Part D and should pay for a portion of an ultrasound minus any deductible, copay or coinsurance.
  • Medicare Part D (Prescription Drugs) won't cover an ultrasound, but it may help to pay for any medication you need as part of your recovery.

What affects the cost of an ultrasound?

The price you'll pay for an ultrasound varies based on factors like:

  • Your health insurance plan. Your coinsurance, copay and how much of your deductible you've met affects the amount you pay for an ultrasound out of pocket, does as whether your doctor or anyone else involved is outside your network.
  • Your location. Where you live dictates which doctors or healthcare facilities you have access to for an ultrasound. Urban areas are more competitive, which can drive down costs for an ultrasound compared to rural areas.
  • Your doctor. Your doctor's experience and expertise affects how much they charge for an ultrasound. And the cost may increase if complications arise during an ultrasound and your doctor has to call in other medical professionals.
  • Additional fees. Your healthcare provider may charge associated fees that increase the overall cost of an ultrasound.

How to cut your costs for an ultrasound

In the leadup to an ultrasound, confirm your copay, coinsurance and deductible with your insurer so you know how much you'll pay out of pocket.

  • Dip into your HSA, FSA or HRA. These tax-advantaged accounts can help you to cover out-of-pocket costs for an ultrasound.
  • Ask about financial aid. If you can't afford to pay the average cost of $826 with or without insurance, most hospitals and clinics offer financial aid programs that include discounts or interest-free payment plans.
  • Explore outpatient centers. Outpatient facilities tend to charge less for medical procedures like an ultrasound, though they're not an option for everyone.
  • Consider medical loans. A medical loan could help pay for anything your health insurance doesn't cover for an ultrasound, like copays or coinsurance.
  • Compare doctors and hospitals. Lower the price of medical services by comparing in-network hospitals before you schedule an ultrasound. The Centers for Medicare and Medicaid Services require hospitals and clinics to publish online price lists for common procedures, which may include costs for an ultrasound.

Bottom line

The price of an ultrasound is a major consideration for treatment whether you have health insurance or not. The amount you'll pay for an ultrasound can vary between doctors, hospitals, locations and insurance plans, which is why it's worth comparing hospital prices.

Ask an Expert

You are about to post a question on finder.com:

  • Do not enter personal information (eg. surname, phone number, bank details) as your question will be made public
  • finder.com is a financial comparison and information service, not a bank or product provider
  • We cannot provide you with personal advice or recommendations
  • Your answer might already be waiting – check previous questions below to see if yours has already been asked

Finder.com provides guides and information on a range of products and services. Because our content is not financial advice, we suggest talking with a professional before you make any decision.

By submitting your comment or question, you agree to our Privacy and Cookies Policy and finder.com Terms of Use.

Questions and responses on finder.com are not provided, paid for or otherwise endorsed by any bank or brand. These banks and brands are not responsible for ensuring that comments are answered or accurate.
Go to site