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Massachusetts

Cost of a Pregnancy Ultrasound Visit
in Massachusetts

Reviewed by Momentary Medical Group West PC

Massachusetts ranks among the top states for maternal health outcomes, yet healthcare costs remain approximately 20% above the national average. For a Pregnancy Ultrasound visit, patients typically pay between $52 and $328, with a median out-of-pocket cost of $80 based on negotiated insurance rates. With 1,764 active providers across the state, Massachusetts offers extensive access to Pregnancy Ultrasound services from Boston's academic medical centers to community practices in western Massachusetts.

Average

$153

Median

$80

Lowest

$52

Highest

$328

Providers

1,764

National avg: $151Massachusetts: $153

1% above national average

Compare Similar Procedures

How does ob ultrasound compare to related procedures in Massachusetts?

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$113$500$1,8301,075
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$80$600$2,1171,381
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$80$735$2,3381,352
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$159$457$1,2591,065
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$80$508$1,6541,412
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$14$801,987
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$77$218$6771,520

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 Massachusetts

Massachusetts healthcare costs run approximately 20% above national averages, driven by the concentration of world-renowned medical institutions and high regional cost of living. The state's small geographic footprint masks significant cost variations between Greater Boston's academic medical centers and rural practices in the Berkshires or Cape Cod.

Urban vs. Rural Provider Availability

The Boston metropolitan area hosts numerous Pregnancy Ultrasound specialists affiliated with Partners HealthCare, Mass General Brigham, and other major systems, creating competitive pricing in urban areas. Rural regions of western and southeastern Massachusetts have fewer specialists, often requiring patients to travel to Springfield, Worcester, or Boston for specialized care, which can increase overall visit costs including transportation.

Facility Type and Overhead Costs

Hospital-based outpatient clinics in Massachusetts frequently charge both physician fees and separate facility fees, particularly at academic medical centers like Massachusetts General Hospital or Brigham and Women's. Independent obstetrics practices and freestanding imaging centers typically offer more predictable pricing without additional facility charges, making them cost-effective alternatives for routine ultrasounds.

Insurance Market Competition in Massachusetts

The state's competitive insurance landscape featuring BCBS MA, Tufts Health Plan, and Harvard Pilgrim creates varied negotiated rates for the same services. This competition generally benefits consumers through reasonable copays and broad provider networks, though negotiated rates can still vary significantly between insurers for identical Pregnancy Ultrasound services.

Physician Supply and Demand in Massachusetts

With 1,764 active Pregnancy Ultrasound providers serving approximately 7 million residents, Massachusetts enjoys robust specialist availability compared to many states. This healthy provider-to-population ratio helps moderate pricing and reduces wait times, though demand remains highest in the Boston area where patients may still face scheduling delays at preferred academic centers.

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 Massachusetts

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

Without insurance, Pregnancy Ultrasound visits in Massachusetts typically range from $52 to $328, with a median cost of $80 based on negotiated insurance rates. Self-pay patients may find lower rates at independent clinics and community health centers, while hospital-based facilities often charge higher fees. Many providers offer cash discounts that can significantly reduce these costs for uninsured patients.

Does Massachusetts Medicaid cover Pregnancy Ultrasound visits?

Yes, Massachusetts expanded Medicaid under the Affordable Care Act, and MassHealth provides comprehensive coverage for medically necessary Pregnancy Ultrasound visits. This includes routine prenatal ultrasounds as well as diagnostic imaging ordered by your healthcare provider. Coverage typically includes no copay for preventive prenatal care, making ultrasounds accessible to eligible low-income residents.

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

Compare costs between independent obstetrics practices and hospital-based clinics, as independent providers often charge lower fees without facility charges. Many Massachusetts community health centers offer sliding-scale fees based on income, and cash-pay discounts can reduce costs by 30-50% at participating providers. Telehealth consultations may also reduce overall visit costs for some follow-up appointments.

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

Initial Pregnancy Ultrasound consultations typically cost more than follow-up visits due to comprehensive history-taking and detailed examination time. In Massachusetts, the median cost for ultrasound procedures is $80, though this can vary based on the complexity and duration of your specific appointment. Routine follow-up ultrasounds for monitoring fetal development are often less expensive than diagnostic ultrasounds investigating specific concerns.

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

Yes, Pregnancy Ultrasound visits qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). This includes copays, deductibles, and coinsurance for prenatal ultrasound appointments. Keep all receipts and documentation, as you may need to provide proof that the ultrasound was medically necessary for reimbursement purposes.

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

While actual ultrasound imaging requires in-person visits, telemedicine consultations in Massachusetts can reduce costs for pre-visit planning, results discussions, and follow-up appointments. Many obstetrics practices offer virtual consultations at lower rates than office visits, typically ranging from $50-150. Massachusetts has strong telehealth infrastructure and insurance coverage for virtual prenatal visits, helping reduce overall pregnancy care costs.

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