Cost of a Pregnancy Ultrasound Visit
in New York
Reviewed by Momentary Medical Group West PC
New York's healthcare costs run approximately 22% above the national average, reflecting the state's concentrated provider networks and high overhead expenses across major metropolitan areas. For a Pregnancy Ultrasound visit, patients typically pay between $35.70 and $327.74, with a median out-of-pocket cost of $112.02 based on negotiated insurance rates. The state maintains over 31,848 active providers offering Pregnancy Ultrasound services, giving patients substantial options when browsing providers across New York.
Average
$158
Median
$112
Lowest
$36
Highest
$328
Providers
31,848
5% above national average
Compare Similar Procedures
How does ob ultrasound compare to related procedures in New York?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $101 | $298 | $1,830 | 30,995 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $241 | $488 | $2,117 | 31,059 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $276 | $507 | $2,338 | 30,991 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $159 | $274 | $771 | 30,910 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $166 | $417 | $1,647 | 31,089 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $10 | $16 | $63 | 32,178 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $51 | $171 | $895 | 31,068 |
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 76805 — Ultrasound, 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 New York
New York's healthcare costs run approximately 22% above the national average, driven by the state's concentrated metropolitan markets and substantial regulatory overhead. The dramatic cost differential between New York City's premium facilities and upstate providers creates complex pricing dynamics across the state's diverse regions.
Urban vs. Rural Provider Availability
The New York City metropolitan area maintains dense provider networks with intense competition, while rural counties in the North Country and Southern Tier face significant specialist shortages. Urban patients benefit from numerous provider choices but pay premium prices, whereas rural residents may travel hours for specialty care at more affordable rates. This geographic divide creates substantial access and cost disparities statewide.
Facility Type and Overhead Costs
Hospital-owned practices dominate New York's healthcare landscape, particularly systems like NewYork-Presbyterian, NYU Langone, and Mount Sinai, which command higher reimbursement rates. These integrated health systems typically charge facility fees in addition to physician services, increasing total visit costs. Independent practices face pressure to join larger networks, reducing competition and potentially driving up prices.
Insurance Market Competition in New York
The state's insurance market features major carriers including Empire BCBS, UHC, Aetna, and Cigna competing primarily in the downstate region with less competition upstate. This geographic concentration allows insurers to negotiate different rates across regions, with Manhattan providers typically commanding premium reimbursements. The competitive dynamics favor large health systems with strong negotiating power over smaller independent practices.
Physician Supply and Demand in New York
With over 31,848 active providers offering Pregnancy Ultrasound services, New York maintains robust specialist availability relative to its population. This substantial provider supply should theoretically moderate pricing, though high practice overhead and insurance administrative costs keep rates elevated. Metropolitan areas show adequate provider density, while some rural regions still experience specialist shortages affecting both access and local pricing.
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.
Frequently Asked Questions — Pregnancy Ultrasound Costs in New York
What is the average cost of a Pregnancy Ultrasound visit in New York without insurance?
Does New York Medicaid cover Pregnancy Ultrasound visits?
How do I find an affordable Pregnancy Ultrasound near me in New York?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Pregnancy Ultrasound visit in New York?
How does telemedicine affect the cost of seeing a Pregnancy Ultrasound in New York?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 76805)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Alaska Range: $51 – $991 | $457 |
| 2 | Washington Range: $51 – $991 | $378 |
| 3 | Montana Range: $51 – $991 | $370 |
| 4 | Idaho Range: $50 – $591 | $242 |
| 5 | Wisconsin Range: $68 – $502 | $222 |
| 6 | Maine Range: $79 – $272 | $177 |
| 7 | Nebraska Range: $82 – $329 | $176 |
| 8 | Wyoming Range: $51 – $331 | $175 |
| 9 | Iowa Range: $58 – $329 | $174 |
| 10 | Vermont Range: $42 – $341 | $169 |
| 11 | New Hampshire Range: $57 – $317 | $168 |
| 12 | District of Columbia Range: $39 – $342 | $166 |
| 13 | Rhode Island Range: $50 – $328 | $164 |
| 14 | Georgia Range: $50 – $319 | $163 |
| 15 | New York Range: $36 – $328 | $158 |
| 16 | Massachusetts Range: $52 – $328 | $153 |
| 17 | Pennsylvania Range: $43 – $328 | $152 |
| 18 | New Mexico Range: $48 – $292 | $149 |
| 19 | Connecticut Range: $45 – $328 | $148 |
| 20 | Utah Range: $51 – $241 | $145 |
| 21 | Colorado Range: $51 – $275 | $143 |
| 22 | Nevada Range: $76 – $221 | $143 |
| 23 | California Range: $52 – $287 | $143 |
| 24 | Indiana Range: $45 – $280 | $142 |
| 25 | North Carolina Range: $44 – $272 | $141 |
| 26 | Hawaii Range: $54 – $230 | $137 |
| 27 | Delaware Range: $54 – $216 | $136 |
| 28 | Illinois Range: $45 – $257 | $134 |
| 29 | Texas Range: $46 – $237 | $126 |
| 30 | Oregon Range: $68 – $236 | $124 |
| 31 | Kentucky Range: $44 – $229 | $122 |
| 32 | New Jersey Range: $35 – $244 | $121 |
| 33 | Maryland Range: $37 – $231 | $119 |
| 34 | South Carolina Range: $43 – $221 | $118 |
| 35 | Michigan Range: $42 – $216 | $115 |
| 36 | Tennessee Range: $48 – $189 | $114 |
| 37 | Virginia Range: $36 – $215 | $112 |
| 38 | Arkansas Range: $49 – $188 | $111 |
| 39 | West Virginia Range: $50 – $215 | $111 |
| 40 | Ohio Range: $32 – $211 | $110 |
| 41 | Arizona Range: $51 – $178 | $107 |
| 42 | Missouri Range: $46 – $165 | $104 |
| 43 | Minnesota Range: $68 – $175 | $103 |
| 44 | Alabama Range: $39 – $189 | $103 |
| 45 | Kansas Range: $48 – $165 | $103 |
| 46 | Mississippi Range: $38 – $189 | $102 |
| 47 | Oklahoma Range: $42 – $175 | $101 |
| 48 | North Dakota Range: $68 – $157 | $97 |
| 49 | Florida Range: $35 – $192 | $96 |
| 50 | Louisiana Range: $38 – $159 | $88 |
| 51 | South Dakota Range: $68 – $117 | $84 |