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Kentucky

Cost of a Pregnancy Ultrasound Visit
in Kentucky

Reviewed by Momentary Medical Group West PC

Kentucky's healthcare system serves a predominantly rural population, with only 58% of residents living in urban areas, creating unique access patterns for specialized care. Pregnancy Ultrasound visits in the Bluegrass State typically cost between $44 and $229, with most patients paying around $92 out of pocket based on negotiated insurance rates. Kentucky maintains 248 active Pregnancy Ultrasound providers across its 120 counties, offering patients multiple options for prenatal imaging services from Louisville's academic medical centers to regional hospitals serving Appalachian communities.

Average

$122

Median

$92

Lowest

$44

Highest

$229

Providers

248

National avg: $151Kentucky: $122

20% below national average

Compare Similar Procedures

How does ob ultrasound compare to related procedures in Kentucky?

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$85$324$814243
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$80$322$917270
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$202$421$1,136210
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$106$249$631191
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$60$220$830282
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$80$88945
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$64$152$477283

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 Kentucky

Kentucky's healthcare costs run approximately 5% below the national average, reflecting the state's lower cost of living and rural hospital economics. The Commonwealth's geographic challenges, with mountainous eastern regions and sparse population density, create distinct cost pressures compared to more urbanized states.

Urban vs. Rural Provider Availability

Louisville and Lexington metro areas concentrate most of Kentucky's maternal-fetal medicine specialists, while rural counties often rely on general obstetricians for prenatal imaging. This geographic disparity can force rural patients to travel significant distances for specialized care, though telemedicine consultations are increasingly bridging these gaps.

Facility Type and Overhead Costs

Hospital-owned clinics affiliated with major systems like Baptist Health or Norton Healthcare typically charge higher facility fees than independent practices. Kentucky's rural hospitals face unique financial pressures, with several closures in recent years affecting the competitive landscape and potentially concentrating higher-level services in remaining facilities.

Insurance Market Competition in Kentucky

Anthem dominates Kentucky's individual insurance market, while UHC and Humana compete more actively in employer-sponsored plans. This moderate concentration gives insurers reasonable negotiating power with providers, contributing to the state's below-average healthcare costs compared to markets with less competition.

Physician Supply and Demand in Kentucky

With 248 active Pregnancy Ultrasound providers serving Kentucky's 4.5 million residents, the state maintains adequate specialist availability in urban areas but faces shortages in Appalachian counties. This supply-demand imbalance can lead to longer wait times and potentially higher costs in underserved regions, particularly for complex prenatal imaging services.

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 Kentucky

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

Uninsured patients in Kentucky typically pay between $44 and $229 for a Pregnancy Ultrasound visit, with a median cost of $92. These rates reflect what insurers have negotiated with providers, though cash-paying patients may receive additional discounts. Rural providers sometimes offer lower base rates than urban facilities, making it worthwhile to compare options in your area.

Does Kentucky Medicaid cover Pregnancy Ultrasound visits?

Yes, Kentucky's expanded Medicaid program covers Pregnancy Ultrasound visits for eligible pregnant women as part of comprehensive prenatal care. The state also provides transportation assistance for Medicaid patients who need to travel long distances for specialized imaging services. Coverage includes both routine screening ultrasounds and diagnostic imaging when medically necessary.

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

Compare prices among independent clinics, hospital outpatient departments, and community health centers, as costs can vary significantly even within the same city. Many Kentucky providers offer self-pay discounts of 20-40% for uninsured patients who pay at the time of service. Community health centers in underserved areas may provide sliding-scale fees based on income, particularly valuable for patients in eastern Kentucky counties.

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

Initial Pregnancy Ultrasound consultations typically involve comprehensive evaluation and may cost more than follow-up visits due to the time required for detailed assessment and counseling. Follow-up appointments focusing on monitoring known conditions or reviewing previous imaging results generally cost less. The specific price difference depends on the complexity of imaging required and time spent with the provider.

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

Yes, Pregnancy Ultrasound visits qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these pre-tax dollars to pay for deductibles, copays, and any portion not covered by insurance. Keep receipts for tax documentation, as prenatal care expenses are considered qualified medical expenses under IRS guidelines.

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

While ultrasound imaging itself requires in-person visits, telemedicine consultations in Kentucky can reduce costs for follow-up appointments to review results or discuss treatment plans. Remote consultations typically cost 30-50% less than office visits and can eliminate travel expenses for rural patients. Some providers offer hybrid care models combining in-person imaging with virtual follow-up consultations to optimize both cost and convenience.

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