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Illinois

Cost of a Pregnancy Ultrasound Visit
in Illinois

Reviewed by Momentary Medical Group West PC

Illinois patients benefit from one of the nation's most robust maternal healthcare networks, with over 6,500 active Pregnancy Ultrasound providers across the state. Pregnancy Ultrasound visits in Illinois typically cost between $44.56 and $256.59, with a median out-of-pocket expense of $101.37 based on negotiated insurance rates. This extensive network of specialists spans from Chicago's major academic medical centers to community hospitals in downstate regions, giving patients throughout Illinois access to quality prenatal imaging services.

Average

$134

Median

$101

Lowest

$45

Highest

$257

Providers

6,504

National avg: $151Illinois: $134

11% below national average

Compare Similar Procedures

How does ob ultrasound compare to related procedures in Illinois?

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$85$344$9014,773
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$80$441$1,1474,920
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$220$462$9445,408
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$118$290$5343,608
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$70$339$6965,884
ECG / EKG

12-lead electrocardiogram with interpretation

93000$17$24$8510,197
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$74$178$3786,654

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 76805Ultrasound, pregnant uterus, complete). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 76805 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 76805 (Ultrasound, pregnant uterus, complete), as mandated by the CMS Price Transparency Rule.

What CPT 76805 covers: the provider's professional fee for ob ultrasound. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why Pregnancy Ultrasound Visit Costs Vary Across Illinois

Healthcare costs in Illinois run approximately 10% above national averages, driven primarily by Chicago's concentrated market and higher operating expenses. The state's healthcare landscape features stark contrasts between the resource-rich Chicago metropolitan area and rural counties with limited provider options.

Urban vs. Rural Provider Availability

Chicago and its suburbs house the majority of Illinois's 6,500+ Pregnancy Ultrasound providers, creating intense competition that can drive down prices in metro areas. Rural counties in southern and western Illinois often have just one or two imaging facilities, limiting patient choice but sometimes offering lower overhead costs. Travel distances to specialized maternal-fetal medicine centers can add indirect costs for high-risk pregnancies in rural areas.

Facility Type and Overhead Costs

Illinois features numerous large health systems like Northwestern Medicine, Advocate Aurora, and OSF Healthcare, where hospital-based imaging typically costs more than independent centers. Academic medical centers in Chicago command premium pricing for specialized services but offer cutting-edge technology and subspecialty expertise. Freestanding imaging centers throughout the state often provide the most cost-effective options for routine prenatal ultrasounds.

Insurance Market Competition in Illinois

The Illinois insurance market remains moderately competitive with BCBS Illinois holding significant market share alongside UnitedHealthcare and Aetna. Regional insurers and Medicaid managed care organizations create additional pricing pressure in certain markets. This competition helps moderate rate increases, though negotiated rates still trend above national medians due to Chicago's high-cost market influence.

Physician Supply and Demand in Illinois

With over 6,500 active Pregnancy Ultrasound providers, Illinois maintains adequate specialist density in urban areas but faces shortages in rural counties. Chicago's concentration of medical schools and residency programs ensures strong provider supply in metropolitan areas, helping contain costs through competition. Rural areas may experience longer wait times and higher prices due to limited provider availability and higher per-case overhead costs.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Pregnancy Ultrasound Costs in Illinois

What is the average cost of a Pregnancy Ultrasound visit in Illinois without insurance?

Without insurance, Pregnancy Ultrasound visits in Illinois typically cost between $44.56 and $256.59, with a median price of $101.37 based on negotiated rates from over 6,500 providers statewide. Self-pay patients often receive discounts of 20-40% off standard rates, especially at independent imaging centers. Many facilities offer payment plans or sliding scale fees to make prenatal care more accessible for uninsured patients.

Does Illinois Medicaid cover Pregnancy Ultrasound visits?

Yes, Illinois Medicaid covers Pregnancy Ultrasound services as part of comprehensive prenatal care benefits. The state expanded Medicaid coverage, providing benefits to pregnant women up to 213% of the federal poverty level with minimal or no copays for routine prenatal ultrasounds. Illinois Medicaid also covers medically necessary diagnostic ultrasounds and specialized fetal imaging when ordered by healthcare providers.

How do I find an affordable Pregnancy Ultrasound near me in Illinois?

Compare prices between hospital-based imaging centers and independent facilities, as costs can vary significantly across Illinois providers. Many freestanding imaging centers offer lower rates than hospital outpatient departments for the same services. Ask about self-pay discounts, payment plans, and consider community health centers that may provide sliding scale fees based on income.

What is the difference in cost between an initial consultation and a follow-up visit?

Based on Illinois provider data, routine follow-up ultrasounds typically cost less than comprehensive initial evaluations or specialized diagnostic studies. Standard prenatal ultrasounds for established patients generally fall in the $44.56 to $101.37 range, while complex evaluations or initial high-risk consultations may reach the higher end of $256.59. Many insurance plans treat routine prenatal ultrasounds as preventive care regardless of visit type.

Can I use an HSA or FSA to pay for a Pregnancy Ultrasound visit in Illinois?

Yes, Pregnancy Ultrasound visits qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) in Illinois. You can use these tax-advantaged funds to pay for deductibles, copays, and out-of-pocket costs associated with prenatal imaging. Keep receipts and documentation for tax purposes, as prenatal care expenses are considered qualified medical expenses under IRS guidelines.

How does telemedicine affect the cost of seeing a Pregnancy Ultrasound in Illinois?

While actual ultrasound imaging cannot be performed remotely, many Illinois providers offer telehealth consultations to review ultrasound results, discuss findings, and plan follow-up care at reduced costs. Telemedicine follow-ups typically cost 20-40% less than in-person visits and are covered by most Illinois insurance plans. This hybrid approach can reduce overall pregnancy care costs while maintaining quality prenatal monitoring.

Click a state to compare costs

Average Visit Cost

$84
$457

Office visit (CPT 76805)

Compare With Other States

RankStateAverage
1Alaska
Range: $51$991
$457
2Washington
Range: $51$991
$378
3Montana
Range: $51$991
$370
4Idaho
Range: $50$591
$242
5Wisconsin
Range: $68$502
$222
6Maine
Range: $79$272
$177
7Nebraska
Range: $82$329
$176
8Wyoming
Range: $51$331
$175
9Iowa
Range: $58$329
$174
10Vermont
Range: $42$341
$169
11New Hampshire
Range: $57$317
$168
12District of Columbia
Range: $39$342
$166
13Rhode Island
Range: $50$328
$164
14Georgia
Range: $50$319
$163
15New York
Range: $36$328
$158
16Massachusetts
Range: $52$328
$153
17Pennsylvania
Range: $43$328
$152
18New Mexico
Range: $48$292
$149
19Connecticut
Range: $45$328
$148
20Utah
Range: $51$241
$145
21Colorado
Range: $51$275
$143
22Nevada
Range: $76$221
$143
23California
Range: $52$287
$143
24Indiana
Range: $45$280
$142
25North Carolina
Range: $44$272
$141
26Hawaii
Range: $54$230
$137
27Delaware
Range: $54$216
$136
28Illinois
Range: $45$257
$134
29Texas
Range: $46$237
$126
30Oregon
Range: $68$236
$124
31Kentucky
Range: $44$229
$122
32New Jersey
Range: $35$244
$121
33Maryland
Range: $37$231
$119
34South Carolina
Range: $43$221
$118
35Michigan
Range: $42$216
$115
36Tennessee
Range: $48$189
$114
37Virginia
Range: $36$215
$112
38Arkansas
Range: $49$188
$111
39West Virginia
Range: $50$215
$111
40Ohio
Range: $32$211
$110
41Arizona
Range: $51$178
$107
42Missouri
Range: $46$165
$104
43Minnesota
Range: $68$175
$103
44Alabama
Range: $39$189
$103
45Kansas
Range: $48$165
$103
46Mississippi
Range: $38$189
$102
47Oklahoma
Range: $42$175
$101
48North Dakota
Range: $68$157
$97
49Florida
Range: $35$192
$96
50Louisiana
Range: $38$159
$88
51South Dakota
Range: $68$117
$84
OB Ultrasound in Other States