Saline infusion ultrasound of the uterus with Doppler

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC SALINE INFUSION SONOHYSTEROGRAPHY (SIS)

Payers reporting CPT 76831

Payer pricing summary

Low

$83

Average

$376

Median

$326

High

$1.1k

Payer rate distribution

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Filter by billing class

#
1	Medicare other · both · +18 other terms	38	$252	$268	$41	15%	2–20	$221 – $351
2	Bcbs In other · both · +1 other terms	11	$871	$899	$141	16%	2–20	$579 – $1.2k
3	Molina fee schedule · outpatient · +32 other terms	219	$226	$212	$178	84%	1–10	$0 – $1.9k
4	UnitedHealthcare fee schedule · outpatient · +37 other terms	696	$326	$349	$270	77%	—	$1 – $7.1k
5	Aetna fee schedule · outpatient · +37 other terms	648	$260	$429	$628	146%	—	$1 – $16.3k
6	Cigna fee schedule · outpatient · +31 other terms	455	$365	$414	$270	65%	—	$1 – $2.5k
7	Blue Cross Blue Shield fee schedule · outpatient · +35 other terms	448	$345	$409	$307	75%	—	$1 – $1.8k
8	Humana fee schedule · outpatient · +31 other terms	398	$244	$282	$251	89%	—	$1 – $1.5k
9	WellCare fee schedule · outpatient · +23 other terms	182	$244	$243	$105	43%	—	$28 – $676
10	Anthem fee schedule · outpatient · +32 other terms	154	$317	$236	$259	110%	—	$6 – $2.8k
11	Ambetter fee schedule · outpatient · +19 other terms	111	$366	$292	$182	62%	—	$23 – $1.0k
12	Kaiser fee schedule · outpatient · +24 other terms	97	$303	$371	$305	82%	—	$35 – $1.8k
13	MultiPlan fee schedule · outpatient · +24 other terms	96	$538	$576	$485	84%	—	$46 – $2.7k
14	Devoted facility · fee schedule · outpatient · +16 other terms	82	$242	$262	$319	122%	—	$42 – $4.9k
15	Aetna Better Health fee schedule · outpatient · +21 other terms	76	$126	$136	$33	24%	—	$73 – $267
16	Caresource fee schedule · outpatient · +19 other terms	76	$240	$218	$87	40%	—	$1 – $518
17	Oscar facility · fee schedule · outpatient · +22 other terms	63	$349	$308	$107	35%	—	$95 – $448
18	First Health fee schedule · outpatient · +21 other terms	57	$249	$353	$417	118%	—	$43 – $2.3k
19	Tricare fee schedule · outpatient · +22 other terms	56	$234	$222	$54	24%	—	$34 – $305
20	Highmark facility · fee schedule · outpatient · +18 other terms	53	$342	$321	$192	60%	—	$25 – $1.1k
21	Optum fee schedule · outpatient · +23 other terms	53	$223	$337	$264	78%	—	$38 – $1.1k
22	Medica fee schedule · outpatient · +25 other terms	35	$211	$281	$181	64%	—	$33 – $865
23	Clover fee schedule · outpatient · +13 other terms	34	$264	$255	$16	6%	—	$215 – $288
24	Cigna Healthspring fee schedule · outpatient · +10 other terms	33	$237	$201	$62	31%	—	$117 – $300
25	Regence professional · fee schedule · outpatient · +22 other terms	31	$56	$128	$92	71%	—	$34 – $367

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