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Virginia

Cost of a Pregnancy Ultrasound Visit
in Virginia

Reviewed by Momentary Medical Group West PC

Virginia's healthcare market operates approximately 3% above national cost averages, with Medicaid expansion providing broader access to reproductive health services across the Commonwealth. Pregnancy Ultrasound visits in Virginia typically show negotiated rates ranging from $36.46 to $215.16, with a median cost of $85.00 based on transparency data from over 2,800 active providers. Virginia residents can browse from thousands of Pregnancy Ultrasound providers throughout the state, from Northern Virginia's dense medical corridors to rural communities in Southwest Virginia.

Average

$112

Median

$85

Lowest

$36

Highest

$215

Providers

2,860

National avg: $151Virginia: $112

26% below national average

Compare Similar Procedures

How does ob ultrasound compare to related procedures in Virginia?

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$124$297$6822,843
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$98$343$8303,248
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$98$398$9163,147
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$95$228$5512,703
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$90$257$7282,890
ECG / EKG

12-lead electrocardiogram with interpretation

93000$13$22$983,469
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$59$150$3903,292

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 Virginia

Virginia's healthcare costs run approximately 3% above national averages, reflecting the state's proximity to high-cost Washington D.C. markets and robust economic growth in Northern Virginia. The Commonwealth's diverse geography creates distinct cost zones, from expensive Northern Virginia suburbs to more affordable rural counties in Southside and Southwest regions.

Urban vs. Rural Provider Availability

Northern Virginia and Richmond-Petersburg corridor concentrate the majority of Virginia's Pregnancy Ultrasound specialists, creating competitive pricing in urban areas while rural counties face provider shortages. Appalachian regions of Southwest Virginia often require patients to travel significant distances for specialty care, potentially adding travel costs to medical expenses. The Interstate 95 and 64 corridors offer the densest provider networks with most competitive rates.

Facility Type and Overhead Costs

Major health systems like VCU Health, Sentara, and Inova dominate Virginia's market with hospital-based outpatient clinics that typically charge facility fees alongside physician services. Independent practices remain common in suburban markets, offering competitive rates without hospital markup, particularly in areas like Virginia Beach and Chesapeake. Academic medical centers in Richmond and Charlottesville command premium pricing due to their teaching hospital status and advanced technology investments.

Insurance Market Competition in Virginia

Anthem Blue Cross Blue Shield maintains the largest market share statewide, while Optima Health dominates Hampton Roads and UHC serves Northern Virginia's federal workforce. This regional concentration allows dominant insurers to negotiate aggressive rates with local providers, benefiting patients in those areas. Smaller markets lack insurer competition, potentially resulting in higher negotiated rates and fewer in-network options for patients.

Physician Supply and Demand in Virginia

Virginia's 2,800+ active Pregnancy Ultrasound providers create adequate supply in urban markets but leave rural areas underserved, contributing to regional cost disparities. The state's proximity to Washington D.C. attracts highly trained specialists who command premium fees, while rural areas struggle with physician recruitment and retention. Growing population in Northern Virginia and Hampton Roads continues to drive demand, supporting higher pricing in these markets despite adequate provider supply.

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 Virginia

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

Without insurance, Pregnancy Ultrasound visits in Virginia range from $36.46 to $215.16 based on negotiated rate data, with a median cost of $85.00. Self-pay patients often receive discounts of 20-40% off standard rates, particularly when paying at time of service. Many Virginia providers offer payment plans to make costs more manageable for uninsured patients.

Does Virginia Medicaid cover Pregnancy Ultrasound visits?

Yes, Virginia's expanded Medicaid program covers Pregnancy Ultrasound visits with no copays for eligible adults up to 138% of federal poverty level. Coverage includes both routine prenatal ultrasounds and diagnostic studies ordered for medical reasons. Over 400,000 Virginians gained coverage through Medicaid expansion, significantly improving access to reproductive health services across the state.

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

Compare prices between hospital-based clinics and independent practices, as facility fees can significantly increase total costs. Ask about self-pay discounts if you're uninsured, and consider community health centers that offer sliding-scale fees based on income. Rural areas often have lower base rates than Northern Virginia or Richmond markets, though travel costs may offset some savings.

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

The pricing data shows Pregnancy Ultrasound procedures (CPT 76805) have consistent rates regardless of visit type, with costs ranging from $36.46 to $215.16 and a median of $85.00. However, initial consultations may include additional evaluation and management fees that follow-up visits don't require. The total difference typically ranges from $50-150 depending on the complexity of the initial assessment.

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

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 deductibles, copays, and any out-of-pocket costs for medically necessary ultrasounds. Keep receipts and documentation from your provider for FSA/HSA reimbursement or direct payment purposes.

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

While actual ultrasound procedures require in-person visits, telemedicine consultations in Virginia can reduce costs for follow-up discussions, results reviews, and routine pregnancy monitoring. Virtual visits typically cost $50-150 less than office visits and may reduce travel time and costs, particularly for rural Virginia patients. However, hands-on ultrasound examinations cannot be performed remotely and require traditional clinic visits.

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